TOPICS Gift Subscriptions Form


		*Topics Gift Certificate*
		Promote Emblem ... With a Gift Subscription to the Emblem Topics Annual Subscription $12.00
		Please print this form & mail it in with your E-mail Directory Order

	To

Name:__________________________________

Mailing Address: ____________________________

City: _____________ State: ______ Zip: _______

Phone: ____________________________________


	From

Name:__________________________________

Club Name: ____________________________

Club No: _________________ State: __________

Address: ______________________________________

City: _______________ State: ________ Zip: ________


	Please type or print clearly: Make Checks Payable to: Supreme Emblem Club Manager Barbara Johnson 18127 Pioneer Blvd. #47 Artesia, CA 90701 (802) 860-2061 Email: newtopicseditor@aol.com


	A gift card will be sent to the recipient upon receipt of subscription form and check. Your canceled check is your receipt. Allow six weeks for delivery. Thank You