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R.V. Fellowship Badge

TO AVOID MISTAKES, PRINT OR TYPE ENTRIES BELOW

Badge #1 _________________________________________            _____________________________________
                                               (name)                                                                        (City & State of Club)

Badge #2 _________________________________________            _____________________________________
                                               (name)                                                                         (City & State of Club)

Send to: __________________________________________

Address __________________________________________

City ____________________ State ______ Zip ___________

# _____ badges at @9.50 each $ ______________
                                                            (total)

Make check out to : Rochar Enterprises                   

Mail to with this form: Rochar Enterprises                    
                                    15565 Bellflower Blvd
                                     Bellflower. CA 90706

Phone: (562) 866-0773
    Fax: (562) 920-9361

This page last updated 05/27/03