Name _______________________________________
Address _____________________________________
City ________________________________________
State _______________Zip_____________________
E-mail Address _______________________________
Attach Check or Money Order:
Payable: Myrtle N. Bridges
Quantity ____________________
$36.00 per book: $________
Postage/Handling
$4.00 per book: $________
N.C. Residents add
$2.52
per book sales tax:   $________
Total Enclosed: $________
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