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Street : ______________________________ Email : __________________________ City : ________________________________ State: ________ Zip:_______________ |
If you'd like your book(s) autographed by Blackie to someone special, please indicate below.
|
Item # |
Title |
Quantity |
Price Each |
Total |
| $ | $ | |||
| $ | $ | |||
| $ | $ | |||
| $ | $ |
Alternate choice (if one of the above is not available)
| $ | $ | ||||
| $ | $ | ||||
| $ | $ | ||||
| Send your gift to a friend: Name: |
Merchandise Total........................ | $ | |||
| Shipping & Handling................... | $ | ||||
| Address: | Subtotal......................................... | $ | |||
| City: | Sales Tax 7.0% (Ga. only)......... | $ | |||
| State: | Zip: | Total Amount Enclosed................. | $ | ||
| Autographing: |
|
Shipping & Handling Charges |
Payment Method |
| UPS Ground 1st Item........................$5.00 Each Additional Item....$1.00 |
Payment Method: Personal Check _____ Money Order _____ |
| UPS 2nd Day Air 1st Item........................$15.00 Each Additional Item....$3.00 |
|
Office Use Only: Date: ________________________ |
Make Checks or Money Orders Payable to: Call: 1 404.636.5695 |
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