APRIL 15, 2021

PAGE A-16 TENNESSEE 931-552-1160 • E-PEDDLER.COM • KENTUCKY 270-885-7232 APRIL 15 thru APRIL 21, 2021 2021 ROTARY AUCTION HOUR CLUB #_________ T Associate Degree $ 179 T Bachelor’s Degree $ 895 T Master’s Degree $1,790 T Doctorate Degree $3,580 T Goat Club $ __________ $______________________Donation Amount T Please Charge on: T Check is Attached CK # _________ T Please Bill Me (Donations less than 1 Hour/$179) Mastercard... T Visa... T No. _____________________________ Expiration Date:______V-Code______ Signature _____________________________ Address: ______________________________ _______________________________________ Name (PLEASE PRINT) _______________________________ Telephone Number _____________________________ I wish my Hour Club membership to be listed as follows: P.O. Box 199 Hopkinsville, KY 42241-0199 p. 270.886.3034 OFFICE USE ONLY

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