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Summary: PLEASE FILL OUT ALL AREASTHAT APPLY:
I would like __________ copies of "Reflections On Our Past."
___________ X $ 35.00 = ________________________
COPIES TOTAL TRANSACTION AMOUNT
$___________ TOTALTRANSACTION AMOUNT
SHIPPING/CONTACT INFORMATION:
Upon receipt of payment, please send ______ copy/copies of
Reflecting On Our Past ($35.00/book -- includes shipping) to:
Name(s) (please print) ______________________________
_______________________________________________
_______________________________________________
Address ________________________________________
_______________________________________________
_______________________________________________
Telephone _______________________________________
E-mail __________________________________________
Please submit any additional names/addresses on a separate sheet of
paper along with this form.
PAYMENT BY CHECK:
Please enclose a check for the TotalTransaction Amount
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