Total Local Community Resource Guide Order Form

NEED AN EXTRA COPY OF A TOTAL LOCAL COMMUNITY RESOURCE GUIDE?

We provide ONE FREE copy of our Total Local Community Resource Guide to each residence in every community where we publish a directory. However, we know that sometimes you’d like an extra copy for friends or family members. We also offer additional copies of each community’s Total Local Community Resource Guide for nonresidents to purchase.

Total Local Community Resource Guides are $500 each and we charge $300 shipping & handling per guide. Please call 517-663-2405 for larger quantities and reduced shipping costs.

Please fill in the order form below and mail it, with your payment, to: Total Local, PO Box 305, Eaton Rapids, MI 48827

Your Name: ___________________________________________________________________________________________ Email: ________________________________________________________________________________________________ Cell Phone: ________________________________________ Home Phone: _______________________________________ May we add you to our marketing list to receive additional news and information from Total Local? q YES

(We will not sell your information to a 3rd party.)

Which books would you like delivered? See the previous page for our coverage map.

Please make checks payable to Total Local or enter your credit card information below:

Name on Card: ___________________________________

Number: ________________________________________

Expiration Date: __________________________________ Security Code: ___________________________________ Billing Address: ___________________________________ Billing City State Zip:_______________________________

q Adrian q Brooklyn - Grass Lake including: Napoleon q Charlotte including: Potterville, Vermontville q Chelsea q Dexter q Eaton Rapids including: Springport q Fowlerville including: Webberville, Bell Oak q Grand Ledge including: Eagle, Mulliken, Sunfield q Haslett - Okemos q Holt - Dimondale q Howell q Ionia - Lake Odessa q Leslie including: Pleasant Lake, Onondaga,

Rives Junction q Manchester - Clinton q Marshall - Albion q Mason including: Dansville q Milan q Pinckney - Hamburg including: Hell, Lakeland, Putnam Twp q Portland q Saline including: Bridgewater q Stockbridge including: Gregory, Munith q Tecumseh including: Britton, Clinton, Tipton q Whitmore Lake q Williamston including: Webberville, Bell Oak

Ship to:

Quantity ____ X $500 = ___________________ Plus Quantity___ x $300 S&H = ___________________ Total = ___________________

q Shipping address same as billing address

Name: ______________________________________

Address: _____________________________________