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*Name
of Club/Organization:
|
* |
|
*Your
Name:
|
* |
|
*What
Address should we ship the catalogs to? (No PO Boxes
please!)
|
|
|
*
|
|
|
|
|
*City:
|
* |
|
*State:
|
* |
|
Zip
Code:
|
(required
in USA) |
|
*Country:
|
* (If outside the USA)
|
|
Your
Phone Number:
|
(Not
required, but requested) |
|
*Your
Email Address:
|
*
|
|
|
|
How
many members in your club/organization?:
|
(Not
required, but requested) |
|
Quantity Desired:
|
* |
|
Helpful
additional information:
|
|
Should
we contact you about sending more catalogs in the future?
|
Yes
No |
|
If so, when?
|
|
|
If
you think you will want more in the future, how many should
we send?
|
|
|
And
how often should we send them?
|
|
|
Could
you give us a brief description of what kind of club/organization
you are?
|
|
Are
there any other details we should now about your club or
organization? (This includes special events, details, needs,
or opportunities for us to help and spread the word.)
|
|
|
|
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If
you have any additional comments, questions, or suggestions,
please include them here:
|
|
Would
you like us to contact you about including your club information
on our community website, www.SandM.com
?
|
Yes
No |