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“Taking Root - Bearing Fruit”
Isaiah 37:31
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| September
01, 2011 (Make all checks payable to IIDS, Inc.) |
| Back Cover/Premium Virtual Advertisement |
First Donation of $1000 or more |
| Inside Front Cover/Premium Virtual Advertisement |
First 2 Donations of $500 or more |
| Platinum Coverage |
$250.00 |
| Full Slide |
$125.00 |
| Half Slide |
$ 75.00 |
| Quarter Slide |
$ 45.00 |
| Patron (Your name listed) |
$ 25.00 |
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Contact Person _______________________________Phone No. ___________________V/TTY
Address ____________________________ City _________________ State_____ Zip ________
ADVERTISEE NAME _______________________________ Phone No_______________________
Address ____________________________ City _________________ State_____ Zip ________
MONIES ENCLOSED $ _________________________ Money Order _______ Check ___________
AUTHORIZED ADVERTISEE SIGNATURE _______________________________________________
RECEIVING SIGNATURE __________________________________ DATE ___________________
ARTWORK ENCLOSED ___YES ____NO ARTWORK E-MAILED ___YES ____NO
E-MAIL ADDRESS ______________________________ DATE E-MAILED ____________________ |
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C/O Paul William Ellis
Post Office Box 39009
Birmingham, Alabama 35208 |
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| IMPARTATION@IIDS-Inc.Org |
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