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Millie's Story - DVD Order Form |
Instructions: |
- Print this form.
- Fill out all information.
- For questions,
please call Marilyn Freeman at (952) 492-5606.
- For quantities over
5, please call for discount pricing.
- Include check or money order payable to:
NA Kraus & Associates, Inc.
- Mail this form and check or money order to the following:
NA Kraus & Associates,
Inc.
Attn: Millie's Story DVD Sales
P.O. Box 4
Jordan, MN 55352-0004
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Millie'sStory-R2007-11-26
Item Number
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DVD qty _____ x $12 = ___________
Add for Rush Order qty
1 x $5 = ___________
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Order Total Enclosed: $____________
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All copies $12 each, shipping
& handling included.
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Name:______________________________________________________ |
Address:____________________________________________________ |
City:_______________________________________________________ |
State:___________________________Zip Code:__________________ |
Phone:______________________________________________________ |
Email:_______________________________________________________ |
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updates or announcements?
(
)Yes ( )No |