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: (____) ___________________
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
Allow 4 to 6 weeks for delivery.