OFFICIAL ORDER FORM - 2010 PARROTS AT PLAY CALENDAR

Calendar price is $15.00 plus $2.00 to cover postage.  $10 of your calendar purchase will benefit the non-profit avian organization shown on this order form.

Name of non-profit Avian Organization
Tax ID Number

Yes! I want to support this organization and have paid them $17.00 for each calendar.  Please send my calendar(s) to the address below. Your name and address will be used SOLELY for mailing you the calendar and not retained for any other purpose.

Please print clearly

Name:____________________________________________________________________

Address line 1_____________________________________________________________

Address line 2_____________________________________________________________

City___________________________________ State__________ Zip________________

Number of calendars:___________

 

Parrots At Play Program, P O Box 943, Lakeville, MA  02347

 

 

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