FORM OF APPLICATION

BUSINESS MANAGER, STORYTELLERS’ MAGAZINE

27 West Twenty-third Street
NEW YORK

Dear Sir: I hereby make application to represent The Storytellers’
Magazine as resident agent in the State of ............................. with headquarters
at
...................................... in ..................... County.
City or Town

I should like to have the following territory assigned to me .........................

(Here describe the Territory, whether
City, County, State, &c.)

If the territory is available, send Terms to Agents, Club Subscription Rates and all necessary information to

Name .................................................................................

Home Address .........................................................................