The Meloche Legacy - ORDER FORM

Print this form and mail it, with your check, to the address below.

Please send me _____ copies of The Meloche Legacy as indicated below:

       

English Book (880 pages, soft cover)

 q       $70.00 each (USA funds) postpaid

q            $84.00 each (CDN funds) postpaid

 

Your Name: ____________________________________

Street Address:__________________________________

City:_____________________ State/Province__________

Zip/Postal Code:_________________

Phone: (____) ___________________

Email: ______ ___________________

Or, return this form, with a check payable to "Meloche Reunion" to:

Jim Meloche
    L’Association des Familles Meloche, Ltd.
    163 Glenburnie Lane
    Clarkston, Michigan USA 48346
info@meloche.net

Allow 4 to 6 weeks for delivery.

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