Basket Buddies Newsletter ORDER FORM
Please print this page and mail it to the address below with your check or money order. Sorry, no phone or fax orders accepted...as we no longer accept credit cards for payment. Please make a copy for your tax records. Please print CLEARLY the information you wish to include in your newsletter. Sorry, no other personalization is available.
NAME ____________________________________
TITLE: __ Ind. Longaberger Home Consultant __ Ind. Longaberger Sr. Home Consultant __ Ind. Longaberger Branch Leader __ Ind. Longaberger National Sales Leader
Are you a: __ New Subscriber or a __ Current/Past Subscriber
ADDRESS: ______________________________________
______________________________________
CITY _____________________________________
STATE _____ ZIP ________________________
PHONE # 1 ________________________________
PHONE # 2 ________________________________
PHONE # 3 ________________________________
FAX # ____________________________________
EMAIL ______________________________________________
SHOP WITH ME? www.longaberger.com/_______________________
S&H Rate in your area: _____ %
Tax Rate in your area: _______% (if you have multiple rates, leave blank, as there is only room for one rate)
Credit Cards you accept for your customers: ___ NONE ___ Visa ___ MasterCard ___ Discover ___ AMEX
Send my newsletter via: ___ EMAIL *or* ___ MAIL
Start my subscription with which issue? ___ January ___ Feb ___ March ___ April ___ May ___ June ___ July ___ August ___ Sept ___ October ___ November ___ December ___ I'm renewing early...just add the extra issues I'm ordering to my current subscription.
If you are a new subscriber...please give us the name of the person who referred you to Basket Buddies Newsletter? (Please only list one person's name.) ____________________________________
Would you like to order: ___ 1 issue for $15 ___ 7 issues for $60 ___ 12 issues for $100
Please send check or money order (payable to Erica Fetterolf), along with your order form to: ERICA FETTEROLF 1117 ANDERS RD LANSDALE PA 19446
If ordering a current issue, it will be sent to you within 1 week of receiving your payment and order.
Thank you! :) Erica
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