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Gloucester-Mathews
GAZETTE-JOURNAL
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Copies or transcriptions
of these weddings are offered at a basic rate of $5 each. Please allow
six weeks to fill your order. To order by mail, print this form, fill
it out, and mail with payment to:
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Gloucester-Mathews Gazette-Journal
P.O. Box 2060
Gloucester, VA 23061
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Order
Information (please print): |
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Wedding
(name): ______________________________ Date: _________ GJ GG MJ NR FP (circle
one) Copies:_____ |
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Wedding
(name): ______________________________ Date: _________ GJ GG MJ NR FP (circle
one) Copies:_____ |
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Wedding
(name): ______________________________ Date: _________ GJ GG MJ NR FP (circle
one) Copies:_____ |
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Wedding
(name): ______________________________ Date: _________ GJ GG MJ NR FP (circle
one) Copies:_____ |
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Wedding
(name): ______________________________ Date: _________ GJ GG MJ NR FP (circle
one) Copies:_____ |
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Payment
Information: |
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Payment
method (to pay online by credit card through our secure server, click
here): |
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Check
Enclosed |
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Visa |
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Mastercard |
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Name:
_________________________________________
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Phone:
____________ |
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Address:
_________________________________________________________________
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________________________________________________________________________
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Card
# _________________________________________
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Exp.
Date: ____________ |
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Signature:
_________________________________________
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