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Order Form

African American History Calendars are available for $4 each. You may order a maximum of 5 calendars while quantities last. Please complete and mail (postal) this form with your check made payable to Aetna.

Mail to:
Aetna Calendar
Corporate Communications
151 Farmington Avenue, RWAB
Hartford, CT 06156

Name _______________________________________

Address _____________________________________

City _________________________________________

State ________________________________________

Zip __________________________________________

Phone _______________________________________

Quantity ________ Total $ _______________________

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