NAME___________________________________________

ADDRESS________________________________________

*NOTE:  Print your address as you want it to appear on sign.

 

CITY___________________STATE_________ZIP______

PHONE__________________________________________

 

TO PLACE AN ORDER:

1. Make a check payable to LMA for $30.00

2. Mail to check and application to:

 

Louise Love

2111A Salem Church Rd.

Irmo, SC  29063

 

(781-6536)

3. Designate a location you prefer to pick up your sign:

Agnew Lake Services

            Ballentine, SC         781-0399
 
            Southside Marina
            Lexington, SC          532-4231
 
            Fashion Exchange
            Chapin, SC               345-6719