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Banner Reservation Request Form

Dates Banner is Needed

Event at Which Banner Will be Used
a

Chapter/Network/Circle

Name of Borrower

Shipping Address [This must be a street address at a location where someone can sign for delivery during normal business hours!]

City

State

Zip

Work Phone Number

Home Phone Number

E-mail Address

Are you currently an Integrity member? [You must be an Integrity member to borrow the banner.]

Notes or Comments

By submitting this reservation request, I accept full responsibility for the care of the banner while it is in my possession. I will ship the banner back to national Integrity or forward it to the next borrower, as directed by Integrity, with a transit time of not more than 3 business days, via a commercial shipping company that provides package tracking and delivery verification. I will insure the banner for $150. I understand that I or my chapter/network/circle will pay for all shipping charges. I/we will also strive to make a contribution to national Integrity maintain the banner.

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No good thing will God withhold from those who walk with Integrity. Psalm 84:11