Lou Wilkinson HD Convention Scholarship Fund
HD & Me Book Auto Responder

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2004 HDSA National Convention

Auto-Responder Instructions
Just fill in the information on the below form then hit "submit" at the bottom
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If you make a mistake and want to start over,
hit the "reset" button at the very bottom of the form.

Yes, I'd Like To Order A Copy of
HD & Me: A Guide For Young People
Written by Alison Gray

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HD & Me: A Guide For Young People at a price of $18.50.00 each which includes Shipping & Handling.

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If this book is a gift and you would like it mailed to a different address then the one shown above, please include that mailing address in the box below. Also include any special message you would like to have sent with your gift.

Please make your check or money order payable to "Jean E. Miller", and mail it to:

HDSF HD & Me
c/o Jean Miller
1835 Pine Cone Circle
Clearwater, FL. 33760-5349

Thank You For Your Order!