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My Contact Information:
- Name__________________________________
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- Address_________________________________
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- City____________________________________
State_________________Zip________________
Phone__________________________________
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- E-mail__________________________________
qXI would like to become a member
of the November Coalition
Annual Dues $25 - Students $15 - Prisoners
$6 (Includes a subscription to our newspaper, The
Razor Wire)
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Four That Got Away Display
(Includes four politician laminates, 10 prisoner laminates
(your set may contain different prisoners than those shown),
and 2 over-sized laminated posters)
| qXRent the Four That Got Away Display |
$15.00 |
Your rental fee covers shipping and
handling, both directions. You are responsible for returning
the display to our office in a timely manner, complete and undamaged.
Replacement cost is $250.00.
Return Date (if renting): |
| qXPurchase the Four That
Got Away Display (Please allow 3 weeks.) |
$250.00 |
Four That Got Away Broadsides
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Price
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Total
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q ___Quantities of 25
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$3.50 ea. |
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q ___Quantities of 50
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$6.00 ea. |
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q ___Quantities of 100
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$11.00 ea. |
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Membership $____________________
Broadsides $_____________________
Display $________________________
Total Enclosed $______________________
Thank You!
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