BCSA Advertisement - Order Form - Deadline 9/12/09, 12am EST
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NAME:
ADDRESS:
CITY/STATE/ZIP:

BEST TELEPHONE:

E-MAIL:   
BEST WAY TO CONTACT: E-mail   Telephone
BCSA MEMBER: Yes   No
AD SIZE: Full   Half  Quarter  Memorial  Booster
TEXT
(use separate sheet if
needed for layout):
 
NUMBER PHOTOS: Send to web@bordercolliesociety.com
MEMBERS ONLY
(for BCSA web site):
E-mail text: Example: Ann Shaw
E-mail Link: Example: ann@domainname.net
Web Site Text: Example: Highgate Border Collies
Web Site URL: Example: www.DomainName.com

 

SIGNATURE: _________________________________________    DATE:

ENCLOSED:

Send check payable to BCSA with order to:
Ann Shaw - 4729 Old Highgate Entry - Stone Mountain, GA 30083
DEADLINE: 9/12/09

Office Use Only:  Received _______________  Check #: _______   Amount ________________