Border Recorder - eOrder Form

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 CONTACT INFORMATION
First Name:   (R)
Last Name:   (R)
Street:   (R)
City/State/Zip   (R)
E-mail:   (R)  Enter N/A if no e-mail.
Best Telephone:   (R) XXX-XXX-XXXX
BCSA Member:   (R)
Kennel Name:   (if any)
Web Site: (if any)
   
BORDER RECORDER ONLY (Deadline Thursday, October 31, 2011, 11:00pm EST)
 
Qty:   2010 = $35.00 + $12.00 US S/H each or + $20 INT S/H each.
Ck.   2010 = $25.00 + $12.00 US S/H each or + $20 INT S/H each (limit one-second copy).  Must place one color ad AND any other ad or Pedigree Page to purchase second copy in addition to FREE copy.
Qty:   1999-2009 Border Recorder = $40.00 + $12.00 US S/H each or + $20 INT S/H each.  (Limited Quantities available)
Qty:   1998 Border Recorder Reprint = $40.00 + $12.00 US S/H each or + $20 INT S/H each
Qty:   1998 Border Recorder Reprint and 2010 Border Recorder = $70.00 + $12.00 S/H or + $20.00 Int S/H each
GENERAL AD (Deadline Thursday, October 31, 2011, 11:00pm EST)
 
BCSA Member:   Qty. Full Color Page-$ 80   Qty. Black/White Page-$40
Non-BCSA Member:   Qty. Full Color Page-$100   Qty. Black/White Page-$60
Ad Will Be Sent:  

NOTE: Anyone placing one color ad AND one Pedigree Page OR one color Ad and any other Ad is entitled to one FREE copy of the Border Recorder mailed to you or you may pick it up at designated locations.

   
PEDIGREE PAGE: Complete separate form for each pedigree (Deadline Thursday, October 31, 2011 at 11:00 PM EST). Email Black and White photo for each dog to Angel Duffy at BorderRecorder@yahoo.com.
 
 Qty.  Black/White-$30 (BCSA Member)
 Qty.  Black/White-$40 Non-BCSA Member)

NOTE: Link on following page for ePedigree Form

   
OTHER:
Amount Due:   (R) 
Payment Method:   (R) 
Note to BCSA: