The Janet Zilinski Memorial Fund
Her beat goes on…Order Form
Live, Laugh, Love Poem with Janet’s very special artwork
[ ] Framed (silver) $15.00 Quantity: _____
[ ] Unframed/Glossy Print $7.00 Quantity: _____
Please include an additional $2.00 for shipping framed poems and $.50 for unframed poems.[ ] Janet’s Heart Magnet $5.00 Quantity: _____
[ ] JZ Wristlet Navy Blue w/ Pink JZ letters (Velcro closure) $5.00
Quantity: _____[ ] JZ Sweatband Navy Blue with White JZ letters $5.00
Quantity: _____** Make checks payable to: The Janet Zilinski Memorial Fund **
Name:_______________________________________________
Address:_____________________________________________
City:_________________________ State:____ Zip:__________
Phone #:________________ Email:________________________Mail Orders to:
The Janet Zilinski Memorial Fund
PO Box 150
Martinsville, NJ 08836
Janet Zilinski Memorial Fund
www.janetzilinski.org