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Thank You for ordering and supporting our preservation work! Area Code________ Phone #______________________________ Name_________________________________________________ Address_______________________________________________ City___________________________ State_______ Zip_________ e-mail address (optional)_________________________________ |
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Quantity |
Description |
Dates Preferred |
Price |
| Add $150 for Health Certificate if shipment is going to Canada _____________ |
| Add $80 for Health Certificate if shipment is going to Puerto Rico _____________ |
| Add $1.00 if you wish us to phone or email you the evening of shipment _____________ |
| Postage (You are in zone _____) _____________ |
| Total ___________ |
| Second Choices: |