Name___________________________________

Address_________________________________________________________________________________

Phone____________________

Number of entries per newsletter: (circle one)

NotIncluding Stamps:
100----$39.95

200----$79.90

300----$119.85

Including stamps:
100----$75.55   (includes 10 pc stamps and 90 letter stamps)

200----$151.10  (includes 20 pc stamps and 180 letter stamps)

300----$226.65 (includes 30 pc stamps and 270 letter stamps)


Mailing preference: (circle one)
1. mail these out by next newsletter
2. spaced throughout sweeps entery period.


Envelope Mailing method:(circle one)
1. per Sandy's mailing method
2. mixture


Completed entries: (circle one)
1.we mail
2.you mail (we mail them back to you)


Stamps: (circle one)
1.you will mail them to me ( must send signature required)
2.I will include in price
3.I will apply my own


Mailing labels: (circle one)
1. I will send mine:  yes  no


Send check or Mo to: Sending a MO will expedite your order much faster as I won't have to wait days for out of state checks to clear.

Theresa Lafata-Provost
8695 Grand Kal
Fife Lake, MI 49633

phone/fax 231-879-4230-please email me with a time you will call (we have dial up)

Click here for auto entry form page 3


Click here for Sweeps Supplies by Theresa
.






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