Maine Ag Tag Mail-In Gift Form

MAINE Agriculture in the Classroom Council

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Maine's agricultural specialty license plate

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For a unique gift that keeps on giving, order a gift voucher for the Maine Agriculture Specialty License plate.

To order a gift voucher send your $20 check made payable to Maine Agriculture in The Classroom Assn. (MAITCA). Be sure to include your name and mailing address on the form below. The voucher can be mailed to you or directly to the recipient (place a mark to indicate your choice).

Maine Agricultural License Plate Payment (Gift) Form

PRINT NAME: __________________________	STREET ADDRESS: ________________________
PHONE: ________________________________	TOWN & ZIP: ______________________________
Your phone number is for essential use by MAITCA only!!	EMAIL ADDRESS: _____________@___________
Number of Ag Plate Sets Requested: ___________
Total Payment Enclosed ($20 per set of plates): ___

.
Please mail the gift voucher(s) to me at the above address: ______

Please mail the gift voucher(s) to the recipient of my gift: ______
Gift recipient's name and mailing address:
____________________________
____________________________
____________________________

Please mail to the Maine Agriculture in the Classroom Association (MAITCA)
28 State House Station, Augusta, ME 04333.
For more information--or if you have questions--call the MAITCA office at (207) 287-5522
or e-mail maitca@maine.gov

THANK YOU!! Ag Education is for the future…

Email us (ltitus1@verizon.net)
Last modified: 6/18/2008

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