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Louis' Farm reimbursement form

First name*

Last name*

Email*

How many issues do we owe you?*

In-kind reimbursement

What would you like us to send you as reimbursement? (Please don't choose more items than the number of issues we owe you.)

Winter 2022-23

Spring 2023

Summer 2023

Fall 2023 (while supplies last)

Winter 2023-24

Spring 2024 (while supplies last)

Summer 2024

Little Gnome Poster

Monetary reimbursement

Whatever isn't covered by this order, I would like to be refunded to my account.

Comments or address changes

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