| Item | Price | Quantity | Personalized Name | Total |
| Cookbook | $19.95 | ____________ | _______________ | ____________ |
| DVD's |
| Family Affair - Season 1 | $39.99 | ____________ | _______________ | ____________ |
| Family Affair - Season 2 | $39.99 | ____________ | _______________ | ____________ |
| Family Affair - Season 3 | $39.99 | ____________ | _______________ | ____________ |
| Family Affair - Season 4 | $39.99 | ____________ | _______________ | ____________ |
| Autographed Photos |
| 1) Family Affair-Dancing | $20.00 | ____________ | _______________ | ____________ |
| 2) Family Affair-Season 1 | $20.00 | ____________ | _______________ | ____________ |
| 3) Family Affair -3 kids | $20.00 | ____________ | _______________ | ____________ |
| 4) FA Xmas - color | $20.00 | ____________ | _______________ | ____________ |
| 5) Cissy | $20.00 | ____________ | _______________ | ____________ |
| 6) Family Affair -color | $20.00 | ____________ | _______________ | ____________ |
| 7) Kathy w/ Cissy Insert | $20.00 | ____________ | _______________ | ____________ |
| 8) 2003 Kathy b/w | $20.00 | ____________ | _______________ | ____________ |
| 9) Princess Daisies montage | $20.00 | ____________ | _______________ | ____________ |
| 10) Night of The Hunter | $20.00 | ____________ | _______________ | ____________ |
| 11)The Bad Seed | $20.00 | ____________ | _______________ | ____________ |
| 12) 10 Commandments | $20.00 | ____________ | _______________ | ____________ |
| 13) Telephone Time | $20.00 | ____________ | _______________ | ____________ |
| 14) Ben Casey | $20.00 | ____________ | _______________ | ____________ |
| 15) Adam 12 | $20.00 | ____________ | _______________ | ____________ |
| Tapes | ____________ | _______________ | ____________ |
| The Art Of Spooning Tape | $14.95 | ____________ | _______________ | ____________ |
| The World's Shortest Stories | $18.95 | ____________ | _______________ | ____________ |
| Sub-Total: |
| Postage
$3.00 reg. postage $8.00 DVD's |
| Total (US Funds Only) |
| Email address where we may contact you with any questions: |
| Mail To: Send order form along with your check made out to:
Kathy Garver **Please allow 4-6 weeks for delivery.** |
Mailing Label (print legibly,please) Name:________________________________________________________ Address:_____________________________________________________ City:_______________________________ State: ________________ Zip:_______________________ |