<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" rowspan="2" width=217 BGCOLOR="#CCFF99" TEXT="#080000" background="052d9d42esnimw.jpg"> <bR> </td> <td valign="top" colspan=2 height=80 BGCOLOR="#A6CAF0" TEXT="#080000" bgproperties="fixed" background="053c8d61eezzsc.jpg"> <div> <FONT SIZE="5" COLOR="#990080" FACE="Arial" ><B>Kimberlee's Place</B></FONT>     |     <A HREF="index.htm" TARGET="_top" TITLE="Kimberlees Place"><U>home</U></A></div> <div> <A HREF="id18.htm" TARGET="_top" TITLE="News and Events"><U>News and Events</U></A>   |   <A HREF="id19.htm" TARGET="_top" TITLE="FAQ"><U>FAQ</U></A>   |   <A HREF="id20.htm" TARGET="_top" TITLE="Contact Us"><U>Contact Us</U></A>   |   <B>Order form</B>   |   <A HREF="id22.htm" TARGET="_top" TITLE="Our Products and Services"><U>Our Products and Services</U></A>   |   <A HREF="id30.htm" TARGET="_top" TITLE="come work with us"><U>come work with us</U></A>   |   <A HREF="id32.htm" TARGET="_top" TITLE="free stuff"><U>free stuff</U></A></div> <div> </div> </td> </tr><tr> <td valign="top" height=400 colspan=2 BGCOLOR="#A6CAF0" TEXT="#080000" bgproperties="fixed" background="051c8d43.jpg"> <div> Order form</div> <div> <TABLE BORDER="2" CELLPADDING="2" CELLSPACING="1" WIDTH="40" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" ALIGN="BOTTOM" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 16 ><NOBR><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="-2" HSPACE="0" VSPACE="0"></NOBR></tD> <tD VALIGN=TOP><NOBR><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="-2" HSPACE="0" VSPACE="0"></NOBR></tD> <tD VALIGN=TOP><NOBR><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="-2" HSPACE="0" VSPACE="0"></NOBR></tD> <tD VALIGN=TOP><NOBR><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="-2" HSPACE="0" VSPACE="0"></NOBR></tD> <tD VALIGN=TOP><NOBR><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="-2" HSPACE="0" VSPACE="0"></NOBR></tD> <tD VALIGN=TOP><NOBR><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="-2" HSPACE="0" VSPACE="0"></NOBR></tD> <tD VALIGN=TOP><NOBR><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="-2" HSPACE="0" VSPACE="0"></NOBR></tD> </tR> </TABLE></div> <div> please print or copy to sheet of paper</div> <bR> <bR> <div> <B>Name:_______________________________</B></div> <bR> <div> <B>Full mailing address</B></div> <div> <B>________________________________________</B></div> <div> <B>________________________________________</B></div> <bR> <bR> <bR> <div> <B>300 samples   ($5.00)</B></div> <div> <B>2000 samples ($19.95)</B></div> <div> <B>bankruptcy book ($47.95)</B></div> <div> <B>napping baby ($24.95)</B></div> <div> <B>troublesome toddler ( $ 27.95)</B></div> <div> <B>work from home ($4. 95 E-mail)</B></div> <div> <B>work from home($9.95 US mail)</B></div> <bR> <bR> <bR> <bR> <div> <B>quantity                    product name                unit price         total cost</B></div> <bR> <div> <B>_______             ___________________        ________          ___________</B></div> <bR> <div> <B>_______             ___________________        ________          ___________</B></div> <bR> <div> <B>_______             ___________________        ________          ___________</B></div> <bR> <div> <B>_______             ___________________        ________          ___________</B></div> <bR> <div> <B>_______             ___________________        ________          ___________</B></div> <bR> <div> <B>_______             ___________________        ________          ___________</B></div> <bR> <div> <B>_______             ___________________        ________          ___________</B></div> <bR> <div> <B>_______             ___________________        ________          ___________</B></div> <bR> <bR> <div> <B>                                                                              total=                 _____________</B></div> <bR> <div> <B>all orders over $40 will receive a free mug. </B></div> <bR> <bR> <div> <B>napping baby-</B></div> <div> <B>hair color _________________        texure__________________</B></div> <bR> <div> <B>boy or girl _________________</B></div> <bR> <div> <B>toddler-</B></div> <div> <B>hair color _________________        texure__________________</B></div> <bR> <div> <B>boy or girl _________________       Sunday best or playtime ___________</B></div> <bR> <bR> <div> <B>ordering more then one? On a sheet of paper write each one separate.</B></div> <bR> <bR> <div> <B>Please send order form, cash, check or money order to:</B></div> <bR> <div> <B>Kimberlee's Place</B></div> <div> <B>PO Box 3342</B></div> <div> <B>Sioux city, IA</B></div> <div> <B>51102</B></div> </td> </tr></table></body>