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Return to Elder Forest Publishing Printable Order Form
For mailing or faxing
Billing Address:

Name:

 Shipping Address:
(  ) Same as "Billing Address"
Name:
Address: Address:
City, State, Zip City, State, Zip
Phone: Phone -optional:
Email: Email:
Payment:
  ( ) Check   ( ) M.O.
  ( ) Credit card		  Name and address associated with credit card must match "Billing Address" info above
All orders ship
within 24 hours
(Circle one):
 
Card Account Number:  
Expiration Date (MM / YY): 
Signature:
. DESCRIPTION GIFT...(Y/N) QUANTITY PRICE EACH LINE TOTAL
      Wrap:
 *Card: 		     
      Wrap:
 *Card: 		     
      Wrap:
 *Card: 		     
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 *Card: 		     
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 *Card: 		     
* Write Gift Card inscription (25-word maximum) on back of this form.
Make check or money order payable to:
Elder Forest Publishing
705 Riverside Dr #1, South Bend, IN 46601

 Phone: (800) 428-0552  •  Fax: (800) 428-0552
E-Mail:
Website: www.elderforestpublishing.com
 Product Total   
Shipping & Handling (See product's order page) 
IN Residents add 6% Sales Tax   
TOTAL   
     Thank you for your order!