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Quilt in a Day · 1955 Diamond St · San Marcos, CA · 92078
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New Book Club Authorization Card

Yes, sign me up for the New Book Club!

Name (print) ___________________________________________________________________

Address ______________________________________________________________________________

City ____________________________________ State _________ Zip ____________________

Telephone-Day:(____)____-______ Evening:(____)____- ______

E-Mail:__________________________

MasterCard__VISA__Discover__

Number ______________________________ Expiration Date _________

Credit Card Security Code ____ (Last 3 Numbers from the back of Credit Card)

Signature _____________________________________________________ Date ___________