Basket Buddies Newsletter Order Form
Please use this for new orders and for renewals.

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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
Copyright 2007 Basket Buddies Newsletter. All rights reserved.
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