Mail Order Form to Be Printed Out
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Mail in check or money order.(US
and Canada Only - Please) Please PRINT clearly. |
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Mail to: 111
S. Magnolia Dr. |
Allow 2 weeks for Delivery |
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| Title |
Quantity |
Price per book |
Subtotal |
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Pardoned or Paroled? by Jefferis K Peterson
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________ x |
$13 = |
__________
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| _________ | ||||||||
Provide Tax
Exempt Number _____________________or Sales Tax {PA only}+ 6%
= |
_________ |
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| Total Order = |
__________ |
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| First Name |
Last Name |
Company |
Phone Numbers where you can
be reached? {Please include Area code}
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Street Address |
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| City |
State/Province |
Country |
Zip/Postal Code |
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| Email: |
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| Do you want to be on our mailing list? | Yes ___ | No___ | ||||||
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Window |
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