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Offline
Order Form Entry
Deadline - July 4, 2007 - 12 noon.
Print this form, fill it out and mail it to:
RV/MH Heritage Foundation, Inc
21565 Executive Parkway
Elkhart Indiana 46514
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Name: _______________________________________ # of
Tickets: ___________
Address:
___________________________________________________________
City: __________________________ State: _____
Zip: _____________________
Telephone: (H) _______________ (O) _________________ (Ext)
_______________
Card#: __________________________________________ Exp Date:
__________
Signature:
__________________________________________________________
In the event that less than 1,000 certificates are sold, net proceeds will be split 50/50 between the foundation and
pro-rated to Winners. You must be 18 years or older to enter.
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