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| [ ] Yes, please send me ___ copies of the May 4 Burr at $6.95 per copy. |
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| [ ] Yes, please send me ___ copies of "The Day the War Came Home" CD-ROM at $6.95 per copy. |
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| [ ] Yes, please send me ___ copies of the May 4 Burr/CD-ROM package at $9.95 per package. |
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Name: ___________________________________________________ Address: ___________________________________________________ ___________________________________________________ ___________________________________________________ Phone: ______________________ E-mail:_____________________
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If you are paying by credit card, please fill out the following information: Credit card type: VISA MasterCard Signature: _________________________________________ Credit card number: _______________ Expiration date:_____________
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