Border Recorder - Order Form
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NAME:
ADDRESS:
CITY/STATE/ZIP:

BEST TELEPHONE:

E-MAIL:   
BEST CONTACT: E-mail   Telephone
BCSA MEMBER: Yes   No
KENNEL NAME
(if any):
WEB SITE (if any)
   
BORDER RECORDER ONLY:
QTY PRICE
2010 - $35.00 + $12.00 S/H each
2010 - $35.00 + $20.00 Int S/H each
2010 - $35.00 (designated P/U
1998 Border Recorder reprint = $35.00 + $12.00 US S/H or + $20 Int S/H each.
1999-2009 Border Recorder - $40.00 + $12.00 US S/H each or + $20 INT S/H each.  (Limited Quantities available)
1998 Border Recorder Reprint = $40.00 + $12.00 US S/H each or + $20 INT S/H each
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 at 11:00 PM EST 
BCSA MEMBERS         NON-BCSA MEMBERS
QTY AD TYPE/PRICE         QTY AD TYPE/PRICE      
Full Color Ad - $80   Black & White Ad - $40   Full Color Ad - $100   Black & White Ad - $60
PEDIGREE PAGE:
(must complete
Pedigree Form)
Email Black and White Photos to Angel Duffy at BorderRecorder@yahoo.com. Deadline Thursday, October 31, 2011 at 11:00 PM EST. Pedigree Pages are for individual dogs who received a title between January 1, 2010 and December 31, 2010.
QTY AD TYPE/PRICE
Member: Black & White - $30 per Pedigree Page
Non-Member: Black & White - $40 per Pedigree Page
DOG #1    
Dog's Registered Name:  
Dog's Call Name:  
DOG #2    
Dog's Registered Name:  
Dog's Call Name:  
DOG #3    
Dog's Registered Name:  
Dog's Call Name:  
   
PRE ORDERS:
  • One free copy of the Border Recorder when purchasing one color General Ad AND one black and white Pedigree Page OR one color General Ad AND any other Ad.

  • Advertisers of the Border Recorder (pre-order) $25 each plus $12.00 US S/H or /$20 International S/H (limit one at this price per advertiser).  Please specify shipping address or pick-up.

CHECK ONE:   Ship to above address.  Ship to address below.  National Specialty Pick-up.
Name:  
Street:  
City/St/Zip:  
QTY PRICE
$35.00 (plus $12.00 US OR $20 INT shipping/handling each)
$35.00 (pick up at designated location)
Please check for free copy (those with General Ad AND Pedigree page OR one color General Ad AND any other Ad)
Please check for $25.00 Other Advertiser copy (plus $12 US or plus $20 INT shipping/handling -- limit one)

SIGNATURE: _________________________________________    DATE:

AMOUNT ENCLOSED:

Send check payable to BCSA with order to: Cindy Geiss - 18 Asbury Avenue - Farmingdale, NJ 07727

Office Use Only:  Received _______________  Check #: _______   Amount ________________