Book Order Form

To order a new family book send the following information

Name __________________________
Address __________________________
City, State, Zip __________________________
Phone number(s) __________________________
Email address (es) __________________________

Number of Books ______ at $75 each. Amount enclosed: $ ____.00

Enclose check or money order (made payable to “Hoelscher-Buxkemper Family Book”) for the above amount and mail to

Shirley M. Burk
HBF Book Fund/ Secretary-Treasurer
4090 Mountain Laurel Loop
Temple, TX 76502-6543

Cancelled check will be your receipt.