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CVBT Fredericksburg History and Biography Series
Use your browser's print
button to print this page, then fill in the blanks, and mail
it with your check or credit card information to us at the
address on the bottom of this page.
Name: _________________________________________________________
Address:_________________________________________________________
City,State,ZIP:__________________________________________________
Phone:
_____________________ email: ____________________________
| Volume#
1, 2002. $17.00 |
All
other volumes $14.00. All volume costs include shipping and handling |
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| Journal
Volume Number(s) |
vol
#___,vol#___,vol#___,vol#___,vol#___vol#___ |
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| Total
Number Volumes |
___________ |
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Total Dollar
Amount Remitted |
$ _____________ |
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| Payment Method: |
__ Check |
__ Visa |
__ MasterCard |
Total Amount:
_________
Check
enclosed: ____ Check number: ____________
Credit card number:
______________________________ expires:_________
Name on
card: ___________________________________________________
Signature:
______________________________________________________
(required for credit card charge) |