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Name of Organization: |
___________________________________________________ |
Contact Person: |
___________________________________________________ |
Phone: |
___________________________________________________ |
| email: |
___________________________________________________ |
Name of Person purchasing flags: |
___________________________________________________ |
Address / City / State / Zip: |
___________________________________________________ |
Phone: |
___________________________________________________ |
Email: |
___________________________________________________ |
| Sponsor Level_______________# of flags at $25.00 each_________Total $_________ | |
To pay with credit card print this form and fill out the section below:
Type of Card__________________________________________
Account Number ________________________________Expiration Date__________________
Name on Card (please print) _______________________________________________________
Signature_______________________________________________________________________
To pay by check print this form and mail it with a check made payable to:
THE EXCHANGE CLUB OF SUGAR LAND
4800 Sugar Grove Blvd.
Suite 100
Stafford, TX 77477
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To order on line at our secure location click here |
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To print an order form and mail it, click here |
