Name________________________________

 Address_______________________________

 City__________________________________

 State(or Country)_______________________

 Zip Code ______________________________

 Please print out and fill in your address information. Make your check payable to Raymond Wood and mail to: Kate Smith Commemorative Society, c/o Raymond Wood, 106 Dewittshire Rd., Syracuse, NY 13214

I will receive two magazines annually for a donation of $15 (or more).  I will also be entitled to purchase tapes, compact discs, publications, and other items for sale.

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