To: memberads@kellyn.com
From:  [required-email]
Subject:  LRCGD Member Ad Order Form

Name:			[required-name]
Address: 		[address] 
Phone:			[phone]
Fax:			[fax]
Kennel Name:		[kennel]
Slogan:		[slogan]
Owner:		[owner]
Street Address:	[street]
City:			[city]
State:			[state]
Zip:			[zip]
Phone:			[phone]
Fax:			[fax]
Email:			[email]
Web Site:		[url]
Photo Preference:	[photo]
Want KellynDesigns Quote?: [website]