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Text File  |  2022-08-26  |  820b  |  58 lines
  1.  
  2.     ORDER FORM -- LOADSTAR #18
  3.  
  4.  
  5. Mail to:
  6.          LOADSTAR
  7.          P.O. Box 30007
  8.          Shreveport, LA  71130-0007
  9.  
  10.  
  11.   I'm hooked!  Life is not worth
  12.  
  13. living without LOADSTAR.  I'll never
  14.  
  15. get along again without my monthly
  16.  
  17. fix.
  18.  
  19.   Start my subscription yesterday!
  20.     (Or today at the latest.)
  21.  
  22.  
  23.  6 months for $ 39.95  __ (circle one)
  24.  
  25. 12 months for $ 69.95
  26.  
  27.  OVERSEAS for $109.95   (US currency)
  28.  
  29.  
  30. Name:{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}
  31.  
  32. Address:{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}
  33.  
  34. City:{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}
  35.  
  36. State:{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}         Zip:{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}
  37.  
  38. Phone #:{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}
  39.  
  40.  
  41.       Check {CBM-@}{CBM-@}{CBM-@}     VISA {CBM-@}{CBM-@}{CBM-@}
  42.  
  43.    M/C {CBM-@}{CBM-@}{CBM-@}    American Express {CBM-@}{CBM-@}{CBM-@}
  44.  
  45.  
  46. Card #:{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}
  47.  
  48. Exp. Date:{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}
  49.  
  50.  
  51.  
  52.   Please make check or money order
  53.  
  54.        payable to LOADSTAR.
  55.  
  56.  
  57. --------< end of order form >---------
  58.