CourierOrderForm

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					                       Subscription Form for The Courier
                                       2011-2012


Date ___________________
Name _____________________________________________________________

Address ___________________________________________________________

City ________________________________ State _________ Zip Code _______

Phone Number ________________________Email: ______________________

Division to Receive Credit for Subscription ______________________________

CofC Chapter to Receive Credit for Subscription __________________________

Amount Enclosed _____________________ Check Number ______________

    A donation to help off set the cost of printing and mailing can be made to The Courier.

     A $10.00 donation makes you a Supporter; a $20.00 donation makes you a Patron.

              The donation is in addition to the subscription fee of $9.00

         $9.00 Courier Subscription + $10.00 to be a Courier Supporter

           $9.00 Courier Subscription        + $20.00 to be a Courier Patron



                  Make check payable to "Treasurer General CofC"

                                 Send order and check to:

                            Miss Allison Herron, Editor General
                      1002 McKenzie Street, North Augusta, SC 29841
                     (706) 910-7896 – E-mail: littlewolf29841@aol.com




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