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The Whitmire Jaycees are putting together a Community Birthday Calendar for the year 2011. The price of the calendar is $10.00 and will include 6 memorable dates of your choosing. Additional dates may be added for 0.50 each. Simply fill out the form below and click submit and your order will be received. Once we receive your order, we will send you an invoice through your email from paypal. You may follow the instructions to pay online, either through your paypal account or with a credit/debit card; or you can print the invoice and mail it, along with full payment to: Whitmire Jaycees
P.O. Box 173
Whitmire, S.C. 29178
You may also print the form and mail it to the above address along with full payment. You will be notified where to pick your caledar up when we receive them, or we will mail it to you for an additional $1.50. All forms and payments are due by September 15, 2011 CALENDAR ORDER FORM

NAME
ADDRESS
CITY STATE & ZIP
PHONE NUMBER
EMAIL ADDRESS

NAME 1 DATE 1 B/A/M 1
NAME 2 DATE 2 B/A/M 2
NAME 3 DATE 3 B/A/M 3
NAME 4 DATE 4 B/A/M 4
NAME 5 DATE 5 B/A/M 5
NAME 6 DATE 6 B/A/M 6
ADDITIONAL LISTINGS ARE .50 EACH
NAME 7 DATE 7 B/A/M 7
NAME 8 DATE 8 B/A/M 8
NAME 9 DATE 9 B/A/M 9
NAME 10 DATE 10 B/A/M 10

WOULD YOU LIKE YOUR CALENDAR MAILED TO YOU?
PLEASE ADD AN ADDITIONAL 1.50 FOR POSTAGE & HANDLING

IF MAILING THIS FORM, PLEASE INCLUDE PAYMENT.
Please make check payable to:

Whitmire Jaycees
PO Box 173
Whitmire, S.C. 29178