2008 QUILT FUNDRAISER DONATION FORM

This lovely king-sized quilt, created by ARS member Kathy Wyckoff of Seattle could be yours! Kathy has graciously donated the quilt to the ARS to benefit the society¹s Editorial Department Computer Upgrade Fund. For every $10 donation to the computer fund you will have your name entered twice into a drawing for the quilt, which will be on display at the Spring National Convention in Denver.

Donations may be made using this form or by calling ARS Headquarters (1-800-637-6534, ext. 103), or at the convention. The drawing will be held July 31, 2008. Funds raised though this effort will be used to upgrade software used in the production of your American Rose magazine.

Quilt

Fill in details of your donation. Remember - 2 tickets for each $10 will be entered int he drawing:

* First Name * Last Name 
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Address1 Address2
City           State   Zip Code
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* Email * Charge Amount
* Credit Card # * Verification #
* First Name  
M.I.
* Last Name
Exp Month & Year Billing Address (State)
Billing Address (Street) Billing Address (City)
Billing Address (Zip)    


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