ADDRESS: ________________________

CITY: _____________________ STATE/PROVINCE: _______ ZIP: __________

Large-Format (24"W x 37"H) 2010 calendar: ____ @ $12 = $_____

Smaller Format (12"W x 18"H) 2010 Calendar: ____ @ $10 = $_____

Send this completed form with your check or money order (made out to DM&IR Veteran Employees Association) to:

DM&IR Railway Veteran Employees Association
c/o Aine Merrill
9147 E. Moonshine Rd.
South Range, WI 54874