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Online Order Form
CHECKING ACCOUNT SWITCH KIT
MARKETING PROGRAM

2009 Order Form

Order Form For:
Contact
Credit Union Name
Phone Number
Fax Number
Email Address
Customization/Instruction

2-Color Brochure Quantity
 
4-Color Brochure Quantity
2-Color Booklet Quantity
4-Color Booklet Quantity

File conversion to PDF for Web site marketing Yes     No

(Subtract 10% from total order if ordering BOTH customized brochures and Web site conversion)

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 $
Arthorized Signature
2. Please bill the credit union