Ferndale
Penny Order Form
Name________________________________________________
Address
______________________________________________
City _______________________
State _________ Zip ________
Phone (_____)_______________
Fax (_____)_______________
e-mail address_________________________________________
Please send me #___ Fernbridge +
#___ Main St. + #___ Cream City
I have enclosed $1 per coin, for
a total of $_______________
Make checks payable to Ferndale
Chamber of Commerce.
Please mail this form with your payment
to:
Ferndale Chamber of Commerce
PO Box 325
Ferndale,
CA 95536-0325
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