Name
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Address
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City, State, Zip
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Daytime Phone
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E-mail
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Quantity
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Cost ($10 each)
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Total
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| Shipping Information (Please
complete if journal(s) are to be shipped to a different address
than above) |
Name
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Address
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City, State, Zip
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| Please make checks payable to Purdue Research
Foundation. |
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Return completed form and payment to:
CFS Development and Alumni Relations
Attn:2001 Historical Journal
1260 Stone Hall
West Lafayette, IN 47907-1260
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