(If you have more than two items you which to pay for, either print out another form and fill in out just the item information.)
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First Name: |
| Last Name: | |
| Address: | |
| City: | |
| State: | |
| Zip Code: | |
| Email Address: | |
| For publication orders, please add a $3.00 shipping fee for the first book and $1.00 for each additional book. Residents of NC need to add 7% sales tax on top of the charge of the publication. | |
| Item Title: | |
| Item Dates (if applicable): | |
| Item Cost: | |
| Item Title: | |
| Item Dates (if applicable): | |
| Item Cost: | |
| TOTAL AMOUNT DUE: | |
| Check or Money Order #: | |
Please make payment to: Please mail payment to: Phone: 828-253-2940 |
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