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Check one: ___ Please fill remaining subscription with back copies, begin with issue _____________________ ___ Please send remaining balance of our subscription. *SUBSCRIBER’S INFORMATION (all fields required) Name ____________________________________________________ Phone # ____________________ Address __________________________________________________ City______________________________________________________ State (Province), Zip (Postal Code) _________________________________________________ COMMENTS/SPECIAL INSTRUCTIONS: ——————————————————————————————————————— ——————————————————————————————————————— ——————————————————————————————————————— Potluck Children's Literary Magazine is a 501(c)(3) not-for-profit organization. Donations of any size are welcome and tax-deductible. Your support enables Potluck to continue providing an educational and professional forum for today's young voices. Thank you! © Potluck Magazine 10/2007 |