Mail To: For More     Information:
Jackie Kraemer     Benefit Fund Email:� [email protected]
% Becky Guymon Call:� Becky @ 217-234-4939
Po Box 41 Web Site:� www.geocities.com/jkbenefitfund
MattoonIL61938
1544TH     Family Cook Book Pre-Order Form
Proceeds go to     the Jackie Kraemer Benefit Form
Pre-order by     November 1 in order to ensure delivery by Christmas
Name:�     ________________________________________________________
Address:�     ______________________________________________________
City:� __________________________________State:� _____�     Zip: _______
Phone:� ___________________________
Email:�     _________________________________________________________
#     of Cookbooks� ___________� X�     $13.00�� =� Total Due:� _____________
Payment:
Cash     or Money Order������������������ Amount     Enclosed:� _______________
Check��������������������������������������������� Amount     Enclosed:� _______________
Credit     Cards (via Pay Pal) can be sent by going to:
www.paypal.com and sending to [email protected]
To Pre-Order print this form and mail it to the above address!
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