Order #

Ornament

Sex

Hair

Eye Color

Personalization

Comments

Amount

Boy

Girl

Blond

Dark Brown

Brown

Red

Blue

Brown

Name

Year

Postage and Handling ($4.95 for 1, .50 for each additional ornament)

6% Sales Tax

Total

THANK YOU  - MAKE CHECKS PAYABLE TO FRANCINE HECKERT

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Mail order to:  Francine Heckert, 1210 Bedford Road, Washington, Indiana 47501 (Questions: 812-254-9099)