for Descendants of John Cox of Abington, Indiana and Joseph Cox of Hampton, Illinois

I would like to order _______ copies of the book at $45 per copy _____________

                                       plus postage and handling at $5 per copy _____________

                                                                                         TOTAL _____________

The above total should be forwarded to:

William J. Utermohlen
1916 Windsor Road
Alexandria, VA 22307

Please ship my copy to:             Name: ______________________________________

                                                Address: _____________________________________



      E-mail address: _____________________________________
                                (for shipping issues and supplemental information)

(If multiple copies are ordered and it is desired to have them shipped to separate addresses, please so indicate, clearly indicating how many copies should be sent to each address.)

Bill Utermohlen, 1916 Windsor Road, Alexandria, VA 22307;