Please
make check payable to DGACC.
Mail
check with completed form to:
DGACC,
P.O. Box 38160, Olmsted Falls, Ohio 44138
Anniversary
Book |
$10.00
each |
Shipping
and Handling is: |
$
5.00 per book for books mailed within the United
States |
Shipping
and Handling is: |
$25.00
per book for books mailed Overseas |
ORDER
CALCULATION
NUMBER
OF BOOKS |
U.S.
S&H |
OVERSEAS
S&H |
TOTAL |
______
x $10.00 |
______
x $5.00 |
______
x $25.00 |
$
______ |
PURCHASER
INFORMATION
NAME |
_________________________________________________ |
ADDRESS |
_________________________________________________ |
CITY |
________________________________ST____ZIP________ |
TELEPHONE |
1
- ( ) - ______ - ________ |
E-MAIL |
_________________________________________________ |
CHECK
BOX IF BOOKS ARE BEING SENT TO ALTERNATE ADDRESS(ES)
If
you would like us to mail the book(s) to a specific address,
please
check the box
and
provide address(es) on the back of this form.
Otherwise,
the books will be mailed to the individual ordering the book(s).
|