CHECK 21
MARKETING PROGRAM
2008 Order Form
Order Form For:
Contact
Credit Union Name
Address
City, State, ZIP
Phone Number
Fax Number
Email Address
2-Color Inserts
Quantity
4-Color Inserts
Quantity
Newsletter Article?
Yes
No
Current GBD Newsletter Client?
Yes
No
Ship To:
Credit Union
Mailhouse
Company/Credit Union/Mailhouse
Address
City, State, ZIP
Attention:
Payment:
Please check method of payment
1. Please debit our Georgia Central account.
Account #
Amount $
Authorized Signature
2. Please bill the credit union
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