Lions Clubs Rose Day
October 14 & 15, 2005

Serving Allegan, Barry, Berrien, Cass, Ionia, Kalamazoo, Kent,
Muskegon, Ottawa, St. Joseph and Van Buren Counties.

Deliver to: __________________________________________Phone:______________

Address: _____________________________________________________________

City: ___________________________________________Zip________________

Subdivision or Apartment Complex name:_____________________________________

For difficult to locate addresses, more descriptive info:___________________________

_______________________________________________________________________

Roses are from:__________________________________________________________

Order options: 1. Fax credit card orders to (616)-971-3208

Name on credit card:______________________________________________

Address: _____________________________________Zip_______

Phone number: ______________________________

Credit card number: ______________________________________________

Exp. Date (mm/yyyy):_______________

Signature: ______________________________________________

(please note that Jamark Laboratories, Inc. our sponsor, will appear on your credit card statement)

2. Call 616-363-9088, ask for Nancee to place a credit

card order for the Grand Rapids Lions Rose Day.

3. Give this form and your money to the Lion who sent this letter.

ORDERS MUST BE TURNED IN NO LATER THAN FRIDAY, SEPTEMBER 30TH!!