ORDER FORM
REFLECTIONS
of Love and Life
Print the order form on your printer and mail with check or money order to:
Edwina K. Brady
100 Norton Ave #2
S. Easton, MA 02375
(508) 230-2857
Reflections Guarantee:
If any item does not measure up to
your expectations, you may return
it for exchange or a prompt refund.
NAME
___________________________________________
DATE
_________________
ADDRESS
___________________________________________
CITY
___________________________________________
STATE
__________
ZIP
__________________
PHONE
______-_______-___________
QTY.
CATALOG NUMBER
DESCRIPTION OF POEM
PRICE Each
TOT AMOUNT
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Shipping and Handling -
if your order totals:
SUBTOTAL
___________
$10.00 and under add $1.25
$10.01 to $25.00 add $2.65
$25.01 to $45.00 add $3.90
$45.01 to $65.00 add $4.95
$65.01 to $85.00 add $5.75
$85.01 and over add $6.75
SHIPPING AND HANDLING
___________
Massachusetts residents
Add 5% Sales Tax
___________
TOTAL AMOUNT
___________
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© 1996 Edwina K. Brady
Email:
dataicon@wisdomwithin.org