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Please furnish the following
information in order to receive a copy of the 2012 4-H Source Book:
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First Name:
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Last Name:
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Affiliation Code:
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Organization:
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Customer Number:
(if known)
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Mailing Address:
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City:
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State:
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Zip Code:
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Email:
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Phone Number:
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No
dashes or parentheses
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2012 Sourcebook Catalog (Please
allow 3 weeks for delivery.)
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If
you are unable to use this form or would prefer to fax us, print out this
form and type in the information. Please no handwritten requests. Fax to:
National 4-H Supply Service at 301-961-2937
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