The Hometown Treasure May 2011 | Page 10

Westview School Corporation Area 1 Year … $10 1 Year … $18 2 Years …$18 - save $2 All Others 2 Years … $33 - save $3 New Glossy Edition Standard Edition Standard Edition 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 ______________________________________________ 1 Year … $60 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: x ____________________________________________________ 1) 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 ________________________________________________________________________ ____________________________________________________ additional words @ 20¢ each 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 ? BB??K? B?K? MK? MK? BB??K? B?K? MK? MK? BB?????????????? H???????????? H???????????? H????????????^\?\?????????K? H L ? LL ??LL ? BB??\???\???K? B?K??NK? NK??BB??X\?H?\??H^N?BBBB???????B??B???N? ?? M ??ML H8?(??^ M ?KM?L?8?(?H?Y]???X\?\?BB???[YB??TY?H LB???X]?Y?YXB????[?\?[??[?[?\???Y?B??Y[??B???U??S?H????H?[Z][HXY?^?[?HY][?B??JH?]H?H????[X?\?\??? ?H?Y?\?B?[?H\???\?Y?[?HH?????[?[?\??Y??K???&]??[?[?\??[YKY?\??? ????X^H ? LB???X???\[??]\???H?Y]???X\?\?B?H?Y]???X\?\?K?[?\?Y][?\?]]?X]X?[H[]?\?Y??QH?[?[?H?]B??\?]?[?H??Z?HY?\??Y][?[K?\??Y]????????][???\??H??Y?B??]?H]XZ[Y?H\?[????X\?X[???[?\??Y[??]?[??[?H?\???[?[??????H\???[?Y?]H\?]?Z[X?H?[?[?H[?H[?H?\??Y]????????][????