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Please print and return to Susan Wenzel , 4569 Rincon Place, Dumfries, VA 22025-1045
LACY SUSAN BOBBIN A MONTH CLUB
Name: ______________________________________________________
Address:______________________________________________________
______________________________________________________
Phone: ______________________________ Email: __________________________
Club name: _________________________________________________________________________
Style bobbin:________________________________________________________________________
Wood/bone choice Midlands and Honiton (circle one) Lemonwood Ebony Bone
Wood choice International Square (circle one) Pear Ebony
Spangled: (Midlands Only - circle one) Yes No
Number of bobbins ordered per month:___________________________
I acknowledge that club cancellation policy requires 60 days notice _____________________ (initials please) ____________
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