Please print & remit this slip with a check or money order in US dollars,
payable to:  The Villeneuve Connections. Thank You.

Mail to:
The Villeneuve Connections 
P. O. Box 124
St. Helens, Oregon  97051


Ordered by: 
Name: __________________________________                  Phone: _________________________________
Address: _______________________________                    E-mail: _________________________________
_______________________________________
                                                                                   
Great Gift Idea!   Please send gift to:
[ X ]   Please send me:
   [   ]  Volume 1 back issues   
                                         Name: ___________________________________________
   [   ]  Volume 2 back issues                                             
Address: _________________________________________
   [   ]  Volume 3 Issue 1                                                     ________________________________________________
 
                                                                                       
Phone: _____________________________________
                                                                                       
E-mail: _____________________________________

[ X ]   I am also submitting these for possible future publications: (Thank you)
   [   ] ancestor charts                [   ]  group sheets         [   ] my query 
   [   ] photographs                    [   ]  family stories        [   ] family reunion info
   [   ] newspaper clippings         [   ]  old certificates      [   ] graduation info

                  
[X] 
$ _________ [   ]  $12.00 for  back issues of Volume 1 (4 issues) /  Please add $4.00 per Volume for P&H (Canada/France/UK)

$ _________ [   ]  $12.00 for  back issues of Volume 2 (4 issues) /  Please add $4.00 per Volume for P&H (Canada/France/UK)

$ _________ [   ]  $5.00 for Volume 3 Issue 1  /  Please add $1.00 per Issue for P&H (Canada/France/UK)

$ _________ [   ]  $3.00 for each issue ordered below:  Please add $1.00 per Issue for P&H (Canada/France/UK)
                            Volume [  ] Issue [   ]  /  Volume [  ] Issue [   ]  /  Volume [  ] Issue [   ]  /  Volume [  ] Issue [   ] 
                            Volume [  ] Issue [   ]  /  Volume [  ] Issue [   ]  /  Volume [  ] Issue [   ]  /  Volume [  ] Issue [   ] 

$ _
-_______ [   ]   *SAVE* Join The Villeneuve Connections Forum, and save $5.00 if you submit this printable pedigree chart.

$ ___________  TOTAL ENCLOSED
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