LEAVE A LEGACY
® Brochures
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Nonprofit
participants may order 500 brochures - absolutely free while supplies
last.
-
Brochures will be distributed to one location in each of the seven regions of
the state. Please indicate which one of the following distribution sites is closest
to your organization. Participants may
pick up brochures at one of the designated regional locations or they may choose to have the material shipped directly for a pre-paid charge of $15.
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Please provide the following information:
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q
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Please ship the brochures to the address below.
I’ve enclosed payment of $15 for shipping and handling.
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q
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I
will pick up the brochures in the region closest to me (please
circle): |
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___Fairfield County Region
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___Greater
Hartford Region
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___New Haven Region |
___Middlesex
County Region |
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___Northeast Region |
___Northwest/Waterbury Region
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___Southeast
Region |
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Brochure Order
Form
Please complete and return the entire participation form to the
Planned Giving Group of Connecticut
Organizations
ordering
more than
500
brochures
must complete the entire order form and are asked to
contribute to the cost. These orders cannot be filled without payment for each
brochure over 500 pieces.
Please remember to include your nonprofit tax-exempt number.
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q
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We will need ______ copies of the LEAVE A LEGACY® 2003 brochure. |
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Name |
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Total # of pieces –
500 =
x .10 =
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$
|
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Organization |
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Shipping and Handling ($15)
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$
|
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Street |
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Subtotal |
$
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City/State/Zip
|
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Add
6% sales tax if applicable
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$
|
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Phone |
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TOTAL
ENCLOSED |
$
|
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Fax |
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Sales tax exempt # |
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Email |
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Fax your completed order form to (860) 525-5088 or send the order form
and check/money order to:
LEAVE
A LEGACY®
CONNECTICUT
c/o
Planned Giving Group of Connecticut
77 Rumford Ave., Suite 3B, Waltham, MA 02453
Ph: (781)-647-7004 Fax: (781) 647-7222
Email:
pggct@camihq.com
Web: http://www.leavealegacyct.org
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