Order Form for Classic with Calendar Insert 
Name:    
Title:    
Facility:    
Address:    
City:    
State:    
Zip:      
Phone Number:    
Fax Number:    
E-mail Address:      
Yes, sign me up for your free monthly e-newsletter
I would like to order The Classic with Calendar Insert -- you can write the newsletter for me, and my calendar will be inserted into the 4 page newsletter.
I would like the title to be:
If you can’t think of one, don’t worry, we’ll do it for you and you can always change it.
The Administration team that I would like to list is:
(Remember, these are just suggestions, you can list anyone you want.)
Administrator:  
Medical Director:  
Director of Nursing:  
Assistant Director of Nursing:  
Activities Director:  
Social Services Director:  
Admissions Director:  
Dietary Director:  
Housekeeping/Laundry Director:  
Maintenance Director:  
Business Office Manager:  
Other:  
   
If you are including a calendar with your Custom Newsletter, Fax it to us at 813-968-7836. info@bcnewsletters.com.
If you would like us to fax you a template, just call us at 1-800-393-4223.
   
Download this file
 
Order Forms
The Classic Newsletter
The Classic with Calendar
The Deluxe
The Whole Shebang
Custom Newsletter
The Calendar
E-Newsletter
 
 
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