(Just print this page)

YES. Here's my $3.00! Please rush my order to me at once.

(Please make check or money order payable to: George Husted)

__ CASH __ MONEY ORDER __ CHECK

NAME _____________________________________________________

ADDRESS___________________________________________________

CITY/STATE/ZIP_____________________________________________

PLEASE PRINT CLEARLY

SEND YOUR ORDER TO:

George Husted

1412 Red Oak Lane

Belmont, MI 49306