Derby City Area Chapter of the N.S.C.I.A. c/o Betty Perry9011 Charleston WayShelbyville, KY 40065
Include check or money order in $U.S., payable to Derby City N.S.C.I.A.
Name______________________________________
Address____________________________________
City_______________________________________
State________________________ Zip__________
Number of cookbooks ordered _________ @ $10.00 ea.
Total: $________________
Send any Questions to: Fundraising