Mail in check or money order.(US
and Canada Only – Please) Please PRINT clearly.
Please fill out all items, calculate totals, and make checks payable to:
Jefferis Peterson
Mail to: 2251 Windmill Run, Wimberley, TX 78676
Allow 2 weeks for Delivery
Pardoned or Paroled? by Jefferis K Peterson
Price per book
Subtotal
Quantity________ x $13 = __________
Subtotal_________
Provide Tax Exempt Number _____________________
or Sales Tax {TX only}+ 8.25% = _________
Total Order = __________
First Name __________ __________
Last Name __________ __________
Company __________ __________
Phone Numbers where you can be reached? {Please include Area code}
__________
Street Address __________ __________
City __________
State/Province __________
Country __________
Zip/Postal Code __________
Email: __________ __________
Do you want to be on our mailing list? Yes ___ No___
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