|
BCSA Advertisement - Order Form - Deadline
9/12/09, 12am EST |
| 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): |
| ||||||||
| |||||||||
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 ________________ |