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For Donations  please "PRINT" this form, fill it in and mail it with your payment in the form of  a Personal Check,
Money Order, or Credit card to:
         The Stars and Stripes Museum/Library Association, Inc.®
         17377 Stars and Stripes Way
         P.O. Box 1861
         Bloomfield, Missouri 63825

or, if you prefer call our mail-order hotline at (573) 568-2055

Qty. Item Price Total
  Afghan     $50.00  
  Pillow     $25.00    
    S&H
each

$5.00

    Total  

Name:____________________________________________________________

Street:____________________________City:____________________________

State:_____________________Zip:___________Phone: (       )_____________

Signature:_________________________________________________________

Visa and MasterCard also accepted. Please check one.

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Credit Card #:___________________________Expiration Date:____________

Signature:________________________________________________________

Make checks payable to:

     
             The Stars & Stripes Museum/Library Association, Inc.®

The Stars and Stripes Museum/Library Association® is Incorporated under General
Not For Profit Corporation Laws.  All donations are tax deductible under
Section 501 (C)(3) of The Internal Revenue Code.