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Manisy Willows Books Faxable Order Form |
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Please print this form, fill it out and fax it to (512) 347-9996
Please charge to my:
Name EXACTLY as shown on card: ________________________________ Billing address: __________________________________________ _______________________________________________________ Phone Number: ______________________
Signature: _____________________________________________ Ship to ( If different from above): __________________________ _______________________________________________________ |
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| How would you like the book signed? Please be specific. ___________________________ | ||||||||||||||||||||||||