The Hometown Treasure January 2011 | Page 18

Standard Edition Westview School Corporation Area 1 Year … $10 All Others 1 Year … $18 New Glossy Edition 2 Years … $33 - save $3 You can pick up individual copies at our office for $4.95, or have it mailed directly to you for $60/year! Gift Subscription From: ______________________________________________ Name ______________________________________________ Mailing Address Mail to: ___________________________________________________ ______________________________________________ CITY, STATE ZiP You may Mailing Address include a line of ___________________________________________________ explanation, such CITY, STATE ZiP as: Enter your line, if you want, below: Elmer Byler ___________ Happy Birthday, Dad! 69902 CR 137 Millersburg, IN 46543 ____________________________________________________________ Payment must be included with your subscription. Form Rev. Mail to: The Hometown Treasure 09-23-09 AMOUNT PAYMENT TYPE ___________ RCT # ___________ DATE OFFICE USE ONLY ___________ ___________________________________________________ P.O. Box 744, Shipshewana, IN 46565 If you wish to use a credit or debit card, please fill in your information below. YOU MAY USE THIS CREDIT CARD INFORMATION FORM WITH EITHER THE SUBSCRIPTION FORM (ABOVE) OR CLASSIFIED AD FORM (BELOW). Address your Credit Card Statement is Mailed To, if Different than on Your Form (Subscription or Classified Ad): _______________ Form Rev. 10-2009 If you wish to use a credit or debit card, fill in your information at right. Please include payment or credit card information with your ad. If we need to bill you, there will be an additional $1.00 billing fee added to the above total. Rev. 04/20/09 3) 3) Multiply cost (box 1) by number of issues (box 2). TOTAL COST: Date(s) to RUN: Next Available 2) 2) Number of issues (months) the ad is to run: 1) x ____________________________________________________ additional words @ 20¢ each 7.40 7.60 7.80 8.00 Phone_______________________________ City______________________________ St___________Zip________________ E Date U Address_________________________________________________________ Hometown Treasure P.O. Box 744, Shipshewana, IN 46565 Mail To: The S Name ___________________________________________________________ Rct. Iss. Printed Name ________________________________________________________________________ ____________________________________________________ 1) Write one word or number per box. The figure in the last box used will be the cost to run your ad once. Don’t count your name, address or ph. #. Signature_________________________________________________ 3-Digit Code ________ ____________________________________________________ 10.60 10.80 11.00 11.20 8.20 8.40 8.60 8.80 6.60 6.80 7.00 7.20 5.80 6.00 6.20 6.40 5.00 5.20 5.40 5.60 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 ___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___ Expires: ___/___ 9.80 10.00 10.20 10.40 Discover 9.00 9.20 9.40 9.60 Please charge my: O F F I C E Phone: 260-463-4901 • Fax 888-439-6528 • The Hometown Treasure Name Page 18 Great gift idea for grandparents and your college students! NEW OPTION! Glossy Premium Magazine Edition! 1 Year … $60 2 Years …$18 - save $2 Standard Edition January 2011 Subscription Rates for The Hometown Treasure The Hometown Treasure, standard edition, is automatically delivered FREE to anyone with a Shipshewana or Topeka address. Additionally, Westview School Corporation covers the postage to have it mailed to the parents/guardians of all other students living in the surrounding towns. A discounted rate is available to anyone else in the Westview School Corporation.