|
|
|
|
Printable Subscription/Donation Form
Home Educator's Family Times
Yes, I want to join with you in helping families learn and grow together!
Donation Only ________ (Your donation of any size helps us to send to those requesting it.)
1 Year Subscription: $15.00
2 Year Subscription: $28.00
Other: _______________________________
I understand that I will receive a subscription as requested of Home Educator's Family Times
Name _____________________________________________
Address ___________________________________________
City _________________________ State _______ Zip _____
Telephone ______________________
Fax ____________________________
Email address: ____________________________________________________
I am paying by check: ___________ (Check Number)
Credit Card Information:
Card Number: __________________________________________________
Expiration Date: ________________________
Billing Name and Address if different from above:
Name _____________________________________________
Address ________________________________________
City _________________________
State _______ Zip __________________
Telephone ______________________
Fax ____________________________
Please make check payable to:
Home Educator's Family Times
and mail to address below:
Home Educator's Family Times
P.O. Box 6442 - Brunswick, Maine 04011
| ||||||||||
