1. Fill out your name and address below.
2. Click "SUBMIT" below (this avoids errors in our typing your name and address - we instead capture digitally what you give us)
3. Mail a check for $35.00, with your name and address, payable to:
             Thomas Williams, FamilyEstate Illinois, 330 S. Wells St. #518 Chicago IL 60606, or
4. If you wish, you can print this form using your browser's print function (first left-click somewhere in this area to be sure the browser is focused on this frame).
             Allow ten days for delivery (it may be shipped sooner; we will ship within three days if you send a money order).

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