PRINT & MAIL ORDER FORM

IF YOU WISH TO USE THE US MAIL INSTEAD OF PAY PAL, PLEASE PRINT THIS PAGE, FILL IT OUT AND MAIL TO THE POST OFFICE BOX SHOWN BELOW WITH YOUR CHECK. THANK YOU.

Flag subscriptions are $75.00 for each American Flag OR $150.00 for a combination of an American Flag & a Texas Flag.

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New subscriber and gift subscription form--MAIL TO:

Rotary Club of University Area

PO BOX 980834

Houston, TX 77098

Please place__US flag(s) and__TEXAS flag(s) @ $75.00 each in my yard for the four patriotic holidays:

Presidents' Day (February), Memorial Day (May), Independence Day (July) and Veterans Day (November)

Make your check payable to The University Area Rotary Foundation

{ a 501(c)3 organization }

Subscribers paying by check will be notified by US mail or email before your renewal date. Subscriptions start on the next holiday after receipt

of your order.

Name_______________________________

SPECIAL PLACEMENT INSTRUCTIONS ______________________,

Address____________________________

TX ___________ ______________________

Home Phone_________________________

email_______________________________

FOR GIFT SUBSCRIPTIONS, PLEASE FILL OUT THE RECIPIENT'S INFORMATION BELOW

Please place__Texas flag(s) and/or__US flag(s)
@ $75.00 each in the recipient's yard

Name_______________________________ SPECIAL PLACEMENT

Address_____________________________ INSTRUCTIONS

______________, TX ___________ _____________________

Home Phone_________________________

PLEASE INDICATE WHERE YOU HEARD ABOUT THE FLAG PROGRAM:

A Rotary Member___

Friend Referral ___

Internet ___

Other_____________

THANK YOU FOR YOUR PARTICIPATION.
ANY QUESTIONS, PLEASE CALL OUR FLAG TEAM CAPTAIN AT 713-824-3824