Name: _____________________________________________________________________

Address:____________________________________________________________________

City: _________________________________  State:_______________ Zip Code:_________

Division to receive credit for Subscription:__________________________________________

CofC Chapter to receive credit for Subscription:_____________________________________

Amount Enclosed $__________________________ Check Number: ___________________

$9.00 per year for four issues - $10.00 to be "Courier" Supporter - $20.00 to be "Courier" Patron

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Please make checks payable to: "Treasurer General CofC"

Mail checks and order form to:   Miss Lilly grimm
                                                       Editor General, Cof C
                                                       12525 Tisha Lane
                                                       Tomball, TX 77377-7510