Order Form
This page has been simplified so as to print on a
single sheet of paper so you can use it to write your order and
mail it to us.
| Your Name |
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| Your Shipping
Address |
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| Your City,
State, Zip |
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Contact Information |
Phone |
Fax |
Email |
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Use A Physical Address (NO P.O. Numbers For Ground Delivery) |
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Book Title |
Quantity |
Price/Book |
Total Price |
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Use Separate Sheet of
Paper To List Additional Books.
Place Totals From Separate Sheet Here |
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| Totals From
This Form and Any Separate Sheets |
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| MO Residents
Add 5.725% Sales Tax |
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Packaging and
Shipping Fee
Contiguous 48 US States --
Please Add
$4.00 for the first book and $1 for each additional book.
Other U.S. and International Orders --
You will be invoiced shipping costs |
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| Total Amount
Enclosed |
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Print and Mail To
Harold Dellinger, 3225 E 10th St., Kansas City, MO 64127
Make Checks Payable to
Harold Dellinger |
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