QC – Order Form - Please Check the items you wish to purchase.

_____ Mailing List. $10 per 100 names on plain paper. Please send _________ (how many?)

_____ Mailing List. $15 per 100 sticky labels. (Not Recommended.) Send __________ (how many?)

_____ Custom Cover Letter. $12 for 2 copies. (Send us a copy of personal information you want included.)

_____ Newest Cover Letter – 6-1-2017 - Cover Letter - $8 for 2 Copies. (Same as “Sample” in your Member Kit.

_____ New Flyer. $8 for 2 copies. (This is the latest Flyer created 6-1-2017.)

_____ Your Responses for $3 Orders. $15 for any given month. Which month(s)? ______________________________

_____ Past News Letters. $1 each. (Circle) 1-2014, 4-2014, 5-2014, 6-2014, 7-2014, 8 & 9-2014, 10-2014

11 & 12-2014, 1 & 2-2015, 3-2015, 4-2015, 5-2015, 6-2015, 7-2015, 8-2015, 9-2015, 10-2015, 11-2015

12-2015, Write in the months you want for 2016 & 2017 ______________________________________________

_____ Newsletters in Larger Print so they are easier to read. $3 each. Circle the months you want above.

_____ New $3 Info Kit. This is the latest Info Kit that goes out with $3 Orders. Cost = $3 (recommended every 4 months)

_____ New Member Kit. The latest Member Kit. Cost = $14 (Recommended every 6 months.)

* If you are ordering a New Flyer, write your name below exactly how you want it on your Flyer.

We accept: Credit Cards, Checks, Money Orders or Cash. (Send cash at your own risk.)

If you would like “Confirmation” that we received your order, enclose a SASE. (Self Addressed Stamped Envelope.)

For Priority Shipping USA – Add $5. Canada – Add $14. Total Amount Enclosed: $______________________

Colorado Residents – Please add 2.9% Sales Tax.

When filling out your order, please print carefully. Your Order will be as accurate as your Printing.

Name ________________________________________________ Your Code ___________________ (Very Important!)

Mailing Address ____________________________________________________________________________________

Town or City_________________________________ State __________ Zip Code + 4 ________________ + _________

Phone _________________________________________________ We may need to call you about your order.

Comments: (Write Additional Comments on the Back.)

Mail To: Quarterly Connection – P.O. Box 468 – Moffat, CO 81143-0468

Phone: 719-655-2630 Fax: 719-655-2633