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Please fill out the information below. If you are having any trouble with this form than please send all  orders to the fan club president at lennonparker@yahoo.com. Once we receive your order we will contact you with your total and shipping address. If you plan to pay with pay pal click the pay pal button above.

 First Name: Last Name:

 E-mail address: Address:

 City: State:

 Zip:

 Are you a member of the online fan club? Yes No

 How often do you visit the fan club site? Always Sometimes

 How would you rate the fan club? Excellent Fair Bad

 What would you like to see on the fan club site?
 


 What item are you ordering? Please give full detail.
 


 What would you like to see for sale in the store?
 

 

 Thank you for your order and Thanks for answering the survey questions!
 The Maureen McCormick Official Online Fan Club