Lou Wilkinson HD Convention Scholarship Fund
2004-2005 Awareness AutoResponder

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2004 HDSA National Convention

Auto-Responder Instructions
Just fill in the information on form then hit "submit" at the bottom
and your order will be automatically emailed to Sue!
If you make a mistake and want to start over,
hit the "reset" button at the bottom.

My HD Creating Awareness Order

Name:

Address:

City:

State: Zip Code

Email Address:

I would like to order:

of the 2004-2005 calendars at a price of $23.00 each which includes Shipping & Handling.

My total calendar order is:

In addition I would like to order:

T-shirt iron on transfer for $3.00 each which includes Shipping & Handling.

My total Iron-On Transfer order is:

In addition I would like to order a:

T-shirts for $16.00 each which includes Shipping & Handling.

My total T-Shirt order is:

The total value of this order is:

I will mail my check by (Date)

The number of the HD Awareness poster I have selected for either the iron on-transfer or t-shirt is reflected in the comments section, below. Also included is my Pie-In-The Face votes! I get one vote for every $1.00 of this order!

My check or money order, payable to Sue Leck, is being mailed to:

Sue Leck c/o HDSF

1526 Applegate Dr.
Naperville, Il 60565