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ORDER FORM Date___________________________________________ Name___________________________________________________________________ Address_________________________________________________________________ City____________________________ State________________ Zip/Postal___________ Please send the following items: ____ Copy of the VHS More Bob-Lo Memories @ $24.95 + $4.00 postage ____ Copy of the DVD More Bob-Lo Memories @ $24.95 + $4.00 postage ____ Copy of the DVD Capt’n Willies Great Lakes Adventure Volume 1 @ $24.95 + $4.00 postage ____ Copy of the DVD Circus History 101 TIFF___ jpeg___ @$24.95 + $4.00 postage ____ Copy of the DVD Circus History 102 TIFF___ jpeg___ @$24.95 + $4.00 postage ____ Copy of the DVD Circus History 103 TIFF___ jpeg___ @$24.95 + $4.00 postage ____ Copy of the DVD Circus History 104 TIFF___ jpeg___ @ $24.95 + $4.00 postage ____ Copy of the DVD Circus History 105 TIFF___ jpeg___ @ $24.95 + $4.00 postage ____ Copy of the DVD Circus Vargas on Parade @ $24.95 + $4.00 postage Postage rates are for the United States only. – Two DVD copies can be sent for $4.00 to the same address. Michigan residents include 6% sales tax. Amount Enclosed $__________________ Check, Money Order, MC, VISA, DISCOVER Card #________________________________________________ Expiration Date__________ Pin number ______________ Order From: Captain of
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