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ALL OF JAN TINCHER'S PUBLICATIONS, PRODUCTS, AND ARTICLES MAY CONTAIN IN-HOUSE AND THIRD-PARTY ADVERTISING

Mail to: Jan Tincher, 506 N. 7th St., Forest City, Iowa 50436

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I am enclosing a check or money order for the amount of:

$_________. 

The item(s) I am ordering is:

___________________________________________________

I found the offer on this web site:

___________________________________________________

My name and address:

Name: ____________________________________________

Address: __________________________________________

City/State/Zip Code: _________________________________

Email Address: _____________________________________

Date: _____________________________________________

 

If this is a certificate, it is for:

Name: ______________________________________________

If you want me to mail it directly to this person, the address is:

_________________________________________________

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