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***** NEW GROUP
PACKET ORDER FORM ***** |
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Please send the following:
(check one) |
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( ) New Meeting Inquiry Packet--free (one per
customer) |
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( ) New Meeting Start Up Literature
Packet--$10 donation |
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Name: ________________________________________ |
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Street: ________________________________________ |
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City:
_________________________________________ |
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| State/Province: _____________ Postal
Code:_________ |
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| Country: ________________ Phone:
________________ |
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Send this form to:
HEART T' HEART
P.O. Box 247
Pleasant Grove, UT 84062 |
Pay in U.S. dollars by check or money
order
or
Credit Card (Visa or Master Charge?)
Number_________________________
Expiration Date (mo/yr)______/_______
Signature ________________________ |
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