ROBINSON JEFFERS TOR HOUSE FOUNDATION

ORDER FORM

 

TITLE

QTY

PRICE PER ITEM

TOTAL

 

     
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       

                                                TOTAL FOR ITEMS   $_________

Please do not send payment with your order.  We will determine the cost of handling and shipping your order based on the U.S. Postal Service printed matter rate or parcel post rate, whichever is appropriate, and contact you with the total amount due for your order.  Orders sent printed matter or parcel post rate require seven to ten days for delivery.  If you want to receive your order more quickly, please let us know which faster method of shipment you prefer.

 

NAME    _____________________________________
 

 

ADDRESS _____________________________________
 
 
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CITY    _________________  STATE __ ZIP _____
 

 

E-MAIL ADDRESS ______________________________
 

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