Dennis Lynn Rader is an American serial killer known as BTK, the BTK Strangler or the BTK Killer. Between 1974 and 1991, BTK killed ten people in Wichita and Park City, Kansas. Rader pleaded guilty and was sentenced to to 10 consecutive life sentences.
 
8 1/2" x 11" copy of BTK's "A Christmas Wreath" poem signed a total of 5 times with 3 of those signed BTK. The front has been hand signed, Dennis L. Rader. Hand signed again, Dennis L. Rader  aka "B.T.K.", with a hand drawn BTK symbol below the signature.
The back is hand signed twice, Dennis L. Rader, and hand signed, Bettie T. Killman. Rare!