To join the Mark Phillips & IIIrd Generation Bluegrass Band Fan Club, please print out this page,
complete the following form, enclose a check or money order for $8.00 made payable to Jeanette
Burford (the Fanclub President) and mail to:

Mark Phillips & IIIrd Generation Bluegrass Band Fan Club
PO Box 1065
Duncan, OK 73534

Name: _____________________________________________________________

Street: _____________________________________________________________

City: ___________________________________________

State: ___________________ Zip: ___________________

E-Mail address: ______________________________________________________
(If you want to be on our e-mail list for updates and special events)

Birthdays (his) ______________________ (hers) _______________________

Date: _____________________________

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