NAOMI LONG MADGETT

 
ORDER FORM
Qty Title Price Amount
     
     
     
     
     
     
     
     
     
     

 

Subtotal

 

6% Sales Tax (MI Residents Only)

 

Shipping & Handling

(Add $4.00 for 1st copy; $1.00 each additional copy)

 

TOTAL ENCLOSED

(Check or Money Order Only)

 

$ _________

 

$ _________

 

$ _________

 

 

$ __________

 

PLEASE SHIP TO:

NAME: ________________________________________________________________________

ADDRESS: _____________________________________________________________________

CITY: __________________________________   STATE: ____________ ZIP CODE _________

Make check payable to Lotus Press and mail to address below:

Lotus Press, Inc

PO Box 21607

Detroit, MI 48221

 

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