c/o Editor
The pages you
request will be mail within 6-8 weeks of receiving your order.
Quarterly Pages Order Form
Ship To
Address:
Name:
__________________________________________________________________________
Address:
________________________________________________________________________
City:____________________
State_____________ Zip Code__________________-___________
Daytime Phone: (_________) ______________________ E-mail Address:
__________________________________________________________________
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Item |
Page No. |
Volume No. |
Issue No. |
Quantity |
Price |
Total Price (See Note Below) |
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Quarterly Index- Name searched: |
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$5.00 |
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Quarterly Index- Name searched: |
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$5.00 |
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Quarterly Index- Name searched: |
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$5.00 |
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Quarterly Index- Name searched: |
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$5.00 |
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Quarterly Index- Name searched: |
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$5.00 |
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NOTE: Will include a 3 page minimum per Volume and
Issue Number: Volume/Issue title page, |
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TOTAL AMOUNT DUE |
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Do not write below this line - For Official
Use
Date Received: ________________ Amount Received: $__________________
Date order filled _______________ Date Check sent to Treasurer ___________