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IAEC Directory Order Form

_____ Directory(s) at $41

Total _____
(price includes tax, shipping/handling)

Invoice/Shipping Information:

Name __________________________________

Company _______________________________

Street Address ___________________________

City/State _____________________ Zip ______

Phone ______________________

Fill the form out and mail a check, made out to Iowa Association of Electric Cooperatives, to 8525 Douglas Ave., Suite 48, Des Moines, IA 50322