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APPLICATION FOR A STREET ADDRESS
IN WHITEHORSE, YT, CANADA
   

Date: ___________, 2009.      To:  Rosie Enriquez

      Enclosed is cash, check, or money order (to "R. Enriguez") for $__________ . I have read the instructions listed separately, and I wish to receive the official application for a mail-forwarding service in Whitehorse.  I understand that the yearly fee for forwarding up to approximately 12 letters per year (regardless of how many names are used) is $150 (in either American or Canadian dollars) and that if many additional letters are received, my annual rate may be raised for the following year.  

Basic plan, including one name for mail forwarding:
 $195
Option: ____additional names, @ $50 per name: $______
TOTAL: $________

MAIL TO: Tenerife Trust, P.O. Box 466,  Burlington, WA 98233 

================================================================

My name: _________________________________              

Address:  _________________________________
   
             
__________________________________



  ¨ Please confirm receipt  via email to:  ____________________@______________ 

Option:  My telephone number is: _____________________(in case of any questions.)

 
 This offer is valid until January 31, 2009 
 
             
Make your check or money order payable to R. Enriquez.


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