NATIONAL DAIRY COUNCIL 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 

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



in the City of Chicago, the sum of $ ( ) Dollars 



payable in thirty-six equal monthly installments of $ ( ) Dollars 



and enclose herewith check in payment of first 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. 



X 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 



us 

 me. 



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_ 



