ORDER FORM

FILL IN THIS FORM. PRINT AND MAIL TO:

Yoroson Publishing, 10120 Two Notch Road, #143, Columbia, South Carolina 29223.

Make checks or money orders payable to: Yoroson Publishing

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Customer Name

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Street Address

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City State Zip Code

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Day Time or Night Time Phone

Please print the name clearly, who you want the book(s) to be autographed to.________________________

_____ Chicken Wing $9.95 ea. $______

Shipping and handling (one book) $3.00; (for each additional book, add $1.)
Add sales tax if required (SC residents only)

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Remarks:

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Webmistress: Tee C. Royal