Please type or print clearly

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Name     ____________________________________________________

Address ____________________________________________________

City     ________________________ State ______ Zip __________

Country ___________________________

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___ copies of Periodic Table       @ $30.00 each ___________

___ copies of Convert It!          @ $25.00 each ___________

___ copies of Cuisine              @ $25.00 each ___________

___ copies of Who Said That        @ $25.00 each ___________

___ copies of SizeWise             @ $20.00 each ___________

                                        SUBTOTAL ___________

             Oklahoma residents add 8% sales tax ___________

                               shipping/handling ______5.00_

                     International s/h add $4.00 ___________

                                           TOTAL ___________

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Payment Method:  __ Check/Money Order (US funds only)

__ VISA   __ MasterCard   __ Discover   __ American Express

Card #       __________  __________  __________   __________

Expiry Date __________   Signature ________________________

- Allow 2 weeks for delivery
- All checks/money orders must be in US funds drawn on a US bank.