BCSA: National Specialty 2009

First Name:

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Last Name:

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Address:

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City/State/Zip:

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Best Telephone:

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E-mail:

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Best Way to Contact:

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BCSA Member:

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Payment Method:

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Ad Size:

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Ad, Memorial
or Booster Text:

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Ad Graphics:

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Members Only (for
BCSA web site, see
sample below):

If e-mail fields are left blank, no e-mail link will be included on web.
E-mail text:		Example: Ann Shaw
E-mail link:		Example: name@bellsouth.net
If web fields are left blank, no web link will be included on web.
Web site text.		Example: Highgate Border Collies
Web site URL		Example: www.DomainName.com

E-mail text will be your name listed above with e-mail address you enter.
Web text sample would be Border Collie Society of America with URL as
http://www.bordercolliesociety.com