“The Bean’s Cove Blair Clan Genealogy”
                              a book by Bryce D. Blair

                                       ORDER FORM


To order, please fill out the form below, with a check (payable to Bryce D. Blair)
and mail to:

               Bryce D. Blair
               BCBC Book
               726 Falling Oaks Dr.
               Medina, OH 44256-2778.  

 Questions to: brydblair1@zoominternet.net (Subject: BCBC Book) or FAX: 330/725-6086.


Name:     _____________________________________    BSGR/CBS Member No: _____________

Address: ________________________________________     City: _________________________

State/Country:   ___________________  Zip+4:   __________   E-mail: _________________


I would like the following:

Quantity                                            Total Cost

________     Hardbound - ($40.00*)           $ __________________

________     Softbound - ($30.00*)           $ __________________
 
                           Amount Enclosed   $ __________________ 
                                                                                
       * includes p/h to USA and Canada, add $4.00 to elsewhere