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Please print this form and fill it out.
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- Name: _______________________________________________________
- Address: ______________________________________________________
City____________________________State___________Zip____________
- Telephone or Email address: (In case we have questions only) _______________________
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Quantity
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Book Title
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Price
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Quantity
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x
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Price
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____
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- Becoming
- ____General Autograph (without names)
- ____Autograph with names
- Name(s) you want it autographed to: __________________________________
_______________________________________
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Regular
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Price
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$10.00
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Subtotal $________________
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Tax (Missouri residents
only must add 7% Tax of subtotal) $________________
- Shipping & Handling (Books $3.00 + $1.00 each item additional
- including books.
- If you order more than 5 books then shipping & handling is
totally free!$______________
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Total amount of your entire order (Make Check or Money Order for)
$________________
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Please make Cashier's Check or Money Order out to IPPD
and mail along with this form to:
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IPPD
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PO Box 11225
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Clayton, MO 63105
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THANK YOU FOR YOUR ORDER!!
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