To order by mail, print out the following form and fill it out,
then mail with your check or money order to-
Memorial Unlimited
1216 San Juan Avenue
San Jose, California 95110
Name__________________________________
Address________________________________
City_________________State____Zip________
Phone No.________________
__________________________________
Name__________________________________
Address________________________________
City_________________State____Zip________
#___AIDS Memorial Charm in 14k Gold. Price- $39.95 ea.______
#___AIDS Memorial Charm in Sterling Silver. Price- $19.95 ea. _______
$2.50 for Shipping and handeling______
CA. Residents add 7.75% sales tax______
Total enclosed _____
Make checks payable to-
Memorial Unlimited
1216 San Juan Avenue
San Jose, California 95110