|
FIRST NAME:
_________________LAST NAME: _________________________ ADDRESS:
________________________________________________________ __________________________________________________________________ CITY: PHONE: ( ____ ) ____ - ________
EMAIL ADDRESS: _____________________ _____ Route Books @ 17.00 each = __________
$3.90 Shipping per Book __________ VA Addresses add $.85 Sales Tax per
Book __________
Total Cost __________ If you are unable to print out this form, send your check along with your name, address, phone number and email address to the above address. Questions – email Chuck Redding at chuck.redding@windsormeade.org or
Nancy Carter at njcarter@starpower.net
: |