International Greyhound Database Order Form

Print and Fax this form to AGC, 785-263-4689
or mail to AGC, P.O.Box 543, Abilene, KS 67410-0543

Please send a photocopy of the following articles:


1.____________________________________________________________________
   Year	   Author(s)           Reference         Number of Pages

Title_______________________________________________________
2.____________________________________________________________________ Year Author(s) Reference Number of Pages
Title_______________________________________________________
3.____________________________________________________________________ Year Author(s) Reference Number of Pages
Title_______________________________________________________
4.____________________________________________________________________ Year Author(s) Reference Number of Pages
Title_______________________________________________________
5.____________________________________________________________________ Year Author(s) Reference Number of Pages
Title_______________________________________________________
Total Number of Pages _________________________
Cost (No. pages @ .25/pg) _________________________
Handling Fee ($2 USA, $4 foreign) _________________________
Total Amount Enclosed _________________________
Payable to National Greyhound Association

Name:______________________________________________________

Address:____________________________________________________

City:_________________________State:______Zip Code____________

Phone #:______________________E-mail__________________________

Credit Card (check one) Visa____Master Card____ VIN #______

Card #________________________________Expiration Date__________

Credit Card Bill Address:____________________________________________________

City:_________________________State:______Zip Code____________

Phone #:______________________E-mail__________________________

 

Signature______________________________