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Name________________________________________________________Date____________
Address______________________________________________________________________
Home Phone___________________________________Cell____________________________
Email______________________________________________
Number of books ordered________$21.00 each book--Total
enclosed $____________________
($17.95 + $3.05...Tax/Packaging/Postage)
Make checks to: Rick Anderson
111 Moss Wood Lane
Clinton, MS 39056
In the spaces
below, write the name of the person(s) you want the book to be autographed
to,
and how you want
it personalized.
Example: To Mary, "My Sister and Best Friend"
For Susan, "The Best Teacher in the World"
Or any other way you want your book personalized.
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