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(RENEWAL) SUBSCRIPTION FORM Quarterly GIFT ... - Balagokulam

(RENEWAL) SUBSCRIPTION FORM Quarterly GIFT ... - Balagokulam

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<strong>Quarterly</strong><br />

(<strong>RENEWAL</strong>) <strong>SUBSCRIPTION</strong> <strong>FORM</strong><br />

<strong>Balagokulam</strong> : - A Unique Hindu Magazine For Children<br />

$11 for Year<br />

If this is a <strong>RENEWAL</strong> (if known) subscriber # _____________<br />

Paid Amount $_________<br />

Check No. __________<br />

NAME: ____________________________________________________<br />

WAS $ 30 NOW ONLY $25 (12 Issues) <br />

(recipient) ADDRESS: _________________________________________ (Two Year) $20 (8 Issues) <br />

(One Year) $11 (4 Issues) <br />

__________________________________________________________<br />

CITY: ____________________STATE:_________________ ZIP: _____________COUNTRY: _____________<br />

PHONE: ______________________ Email Address: ______________________________________________<br />

CHILDREN: NAME:________________________ NAME:_________________________<br />

DATE OF BIRTH ____/____/______<br />

DATE OF BIRTH ____/____/________<br />

Name, address and payment option are required. See reverse side for more details.<br />

<strong>Quarterly</strong><br />

<strong>GIFT</strong> <strong>SUBSCRIPTION</strong> <strong>FORM</strong><br />

<strong>Balagokulam</strong> : - A Unique Hindu Magazine For Children<br />

$11 for Year<br />

<strong>GIFT</strong> FROM NAME: _________________________________________ Paid Amount $_________<br />

Check No. __________<br />

<strong>GIFT</strong> TO NAME: ____________________________________________<br />

WAS $ 30 NOW ONLY $25 (12 Issues) <br />

(recipient) ADDRESS: _________________________________________ (Two Year) $20 (8 Issues) <br />

(One Year) $11 (4 Issues) <br />

__________________________________________________________<br />

CITY: ____________________STATE:_________________ ZIP: _____________COUNTRY: _____________<br />

PHONE: ______________________ Email Address: ______________________________________________<br />

CHILDREN: NAME:________________________ NAME:_________________________<br />

DATE OF BIRTH ____/____/______<br />

DATE OF BIRTH ____/____/________<br />

Name, address and payment option are required. See reverse side for more details.<br />

With lots of love<br />

<strong>Quarterly</strong><br />

<strong>GIFT</strong> OF BALAGOKULAM MAGAZINE<br />

<strong>Balagokulam</strong> : - A Unique Hindu Magazine For Children<br />

RECEIPIENT’S NAME: _________________________________________<br />

OCCASTION: __________________________________________________<br />

DATE: __________________________________________________<br />

FROM: __________________________________________________<br />

Contact: subscribe@balagokulam.org to find out details about your gift subscription.<br />

<strong>Balagokulam</strong> is a project of Hindu Swayamsevak Sangh.<br />

Web: WWW.BALAGOKULAM.ORG, WWW.HSSUS.ORG


Subscriber no. is optional and can be found next to your address mailing label.<br />

1) Cut this form on the perforated line. PLEASE<br />

2) Mail form with a check payable to “HSS” with MEMO: <strong>Balagokulam</strong> Magazine to the address printed below. PLACE<br />

STAMP<br />

Mailing Address:<br />

<strong>Balagokulam</strong> Magazine<br />

19976 Beekman Place<br />

Cupertino, CA 95014 - 2453<br />

Subscribe to <strong>Balagokulam</strong> and look forward to:<br />

Reading what you and children just like you write.<br />

Competing and getting published!<br />

Stories about Indian freedom fighters, Inspiring personalities, Scientists, and Literatures<br />

Folk stories, tales from the Jataka and Panchatantra, Tenali Raman and Maryada Raman<br />

Activities, Humor, Vedic Math, and easy science experiments<br />

Dance and Music, Festivals, Events and much, much more<br />

This form can be used as a subscription form also. Enter address of the recipient..<br />

1) Cut this form on the perforated lines. PLEASE<br />

2) Mail the middle portion (subscription form) form with a check payable to “HSS” with PLACE<br />

MEMO: <strong>Balagokulam</strong> Magazine to the address printed below.<br />

STAMP<br />

3) Mail the lower portion to whom you want to give this gift subscription.<br />

Mailing Address:<br />

<strong>Balagokulam</strong> Magazine<br />

19976 Beekman Place<br />

Cupertino, CA 95014 - 2453<br />

Give Gift Subscription of <strong>Balagokulam</strong> Magazine and enlighten a child:<br />

Stories about Indian freedom fighters, Inspiring personalities, Scientists, and Literatures<br />

Folk stories, tales from the Jataka and Panchatantra, Tenali Raman and Maryada Raman<br />

Activities, Humor, Vedic Math, and easy science experiments<br />

Dance and Music, Festivals, Events and much, much more

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