NATIONAL DAIRY C OUNGIL CHICAGO 



59 



USE THE SUBSCRIPTION BLANK ENCLOSED HEREIN 



THIS IS YOUR COPY 



SUBSCRIPTION BLANK 



$750,000 ORGANIZATION AND ADVERTISING FUND OF THE 

 NATIONAL DAIRY COUNCIL 



We 



I hereby subscribe and agree to pay to the Treasurer of the NATIONAL DAIRY COUNCIL, at his office 



-(- 



-) Dollars 

 _) Dollars 



in the City of Chicago, the sum of $ 



payable in thirty-six equal monthly installments of $ 



and enclose herewith check in payment of iirst installment. 



I agree to pay on or before the first of each month after this date an equal amount until the whole sub- 

 scription is paid in full. 



I hereby authorize the Executive Committee of the National Dairy Council to expend any moneys sub- 

 scribed and paid hereunder in the manner and for the purposes set forth in its prospectus, with the under- 

 standing that a full accounting, certified to by Certified Public Accountants will be furnished to ^l 



Dated day of , A. D. 1916. Name 



By 



Make all checks payable to Treasurer National Dairy 

 Council, Room 405, 130 N. Fifth Ave., Chicago, 111. 



Street and Number _ 

 City 



, State- 



