Lovers on your Christmas List…
or form and
makes a great gift for family, friends the giving is easy! Just fill out this fie ManitobaCooperator
of the page. OR -Call our toll free anyone on your list! And
mail it to the address at the bottom you over the phone: number and we’ll get all the details from
operator
Manitoba
regarding [email protected]
information mail:
For any additional subscriptions e-
Gifts Are From:
____________________________________
Name: ______________________________________ ____________________________________
Town:
Postal Code: Prov:______________
My
Gift #1
2 Years $80.32 $65.00
. Renewal
. 1 Year $46.72 $35.00 .
. New
Gift Name: Address:
_______________ _____________
City/
Subscription
____________________________________
______________________________________ Address:
________________________ C ity/Town:
Postal Fax:
Phone:_____________________ Renew my own
Prov.: _______ ____________
subscription Year $46.72 $35.00 . 2 Years
$80.32 $65.00
. . 1
Ph: ________________________________
Code:___________________ Sign Gift Card :
subscription:
$
My 1st
1 year ($35.00) or 2 years ($65.00) Additional Gifts: 1 year ($35.00) or 2 years ($65.00)
U. S. 1 year $150
(taxes included) Total
$
Gift #2
2 Years $80.32 $65.00
. Renewal
. 1 Year $46.72 $35.00 .
. New Subscr iption ____________________________________ Gift Name:
______________________________________
Address: ________________________ C ity/Town:
Postal
$ $
2010 issue.
start with the January
Mastercard
Prov.: _______
____________ Ph: Code:___________________
________________________________ Sign Gift Card :
2 Years $80.32 $65.00
. 1 Year $46.72 $35.00 .
. Renewal
. New Subscr iption
____________________________________
Gift Name:
______________________________________
Address:
________________________ City/Town: Ph:
Code:___________________ Postal
Please attach a sheet of paper with additional
subscriptions
. Visa .
New gift
. Charge My:
_________________________________________ Credit Card #:
__________________________________________
Are you currently: . Farming
Cheque enclosed Expiry Date:
. . Ranching
Gift #3
completed Mail this form with payment to:
Prov.: _______ ____________
operator Manitoba Co-1666 Dublin Ave,
Winnipeg, MB
R3H OH1
________________________________
Sign Gift Card :
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