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