| SPECIAL GIFT DISCRIPTION AND SUBSCRIPTION |
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| Few gifts are remembered or appreciated for very long. With the CSC Smart Card you can purchase cards that will keep the receiver saving for a whole year. Any member can order cards for special gifts. |
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| To purchase CSC Smart Cards for special occasion gifts for birthdays, graduations, Christmas etc. You can order by simply printing off the following order sheet. Happy giving and even more returns., |
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| All Special Occasion Cards are one year cards. The first Special Occasion Card you purchase is $10.00 and any additional cards ordered at the same time are $5.00 each. |
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| Name and title of person completing form: ___________________________________________________________ |
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| Mailing Address:______________________________________________ | ||
| City:__________________________________State_____Zip:__________ |
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| Phone: ( _____ )______________________________________________ |
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| Extra Phone:(_____)___________________________________________ | ||
| Email address__________________________FAX__________________ |
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| Web Page Address____________________________________________ |
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| _____Purchase Special Occasion One Year Membership cards |
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| # of Cards Subtotal |
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| The first Special Occasion Card cost you $10.00 each: ______ ______ |
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| Additional cards are $5.00 each: ______ ______ | ||
| Total # of Cards Total Cost |
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| ______ ______ |
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| Please indicate where you heard about the CSC Discount SmartCard._______ |
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| __________________________________________________________ |
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| If you learned
about the card from our Web Page or another, please provide
the |
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| Make check or money order out to CONSUMER SAVERS CLUB. |
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| Mail form with check or money order to: CSC Smart Card |
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| Box 2922 |
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| Lawton, OK 73502 |
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