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Order Form
Name: _____________________________________________________________________________
Phone: ______________________________ Email: _________________________________________
Team: _____________________________________________________________________________
Mailing Address: _____________________________________________________________________
City, State, ZIP Code: _________________________________________________________________
Complete the form above and mail check or money order in the amount of $50.00 to:
LINDA
HEUSNER
USEDA REGION 7 SECRETARY
111 WINTERBERRY LANE
ATHENS GA 30606
Should you have any questions, please contact Linda at 706-353-6911, or 706-248-7508.
