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The Teaching Home
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U.S.A. Subscriptions & Renewals
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| The Teaching Home, Box 20219, Portland OR 97294 / FAX: 503-253-7345. | |||||||
| Mailing Address | Billing Information ( If different from Mailing Address ) | ||||||
| Customer Number (if applicable) | Date | Customer Number (if applicable) | Date | ||||
| Name (Include both husband's and wife's first names.) | Name (Include both husband's and wife's first names.) | ||||||
| Address | Address | ||||||
| City | State | 9-Digit ZIP Code | City | State | 9-Digit ZIP Code | ||
| Phone | Phone | ||||||
| E-Mail Address | E-Mail Address | ||||||
| __ 1-yr @ $15 (reg.$20) | $______ | Check Enclosed. |
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| __ Quick Start 1-yr @ $18.75 | $______ | ||||||
| __ 2-yr @ $25 (reg.$30) | $______ | Charge My Account ( Visa, MasterCard, AmEx, Discover ) |
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| __ Quick Start 2-yr @ $28.75 | $______ | ||||||
| __ Scholarship Fund Donation | $______ | |__|__|__|__| - |__|__|__|__| - |__|__|__|__| - |__|__|__|__| | |||||
| __ Contribution to Teaching Home Ministry | $______ | ||||||
| TOTAL | $______ | Exp. Date: |__|__| - |__|__| | |||||
| Signature ________________________________________________ | |||||||