COi
EW
EME

i
illllillllll
C-6 LM 'n L6
H h x x x cn v a v
1 19
a ca c r ra ca ca ra o o o ca
C C C C C G C C C C C C N C
C C C C C G C C C C C G
d d N GJ CJ 6J 61 GJ 61 6J 61 4J
c7 c5 c7 C; G. c7 c7 c7 c7 c7 c c7
L L L L L L L L L L L L L
C^ C'

Please Print Clearly

co
co

add ress
city

state zip

snture
Q VISA Q MASTERCARD Q Check or money order
# Exp. Date_
Send check or money order to:
USCO Services-Syring Break '87
P.O. Box 619325
Dsllas/Ft. Worth Airport, TX 75621
Or call: 1-800-527-2452. In Texas, csll (214) 436-8128
" Please sllow 3-4 necks for delivery
" Void wnhere prohibited by sin

0o t to to A V Vi li
1111110

I:
W-
O-
OU
3

y

V

A i4

,:'
,
, = - - i
'.
, = r , r
, ,
Qt ' t" '-fit' ' 4 '
'. ' i .44 _.'A
(i .

