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Heritage Quest Research Library
1007 Main Street
Sumner, WA 98390-1412
| Name: | |
| Shipping Address: | |
| City, State, and Zip Code: | |
| E-mail Address: | Daytime Phone Number: |
No C.O.D.s. Please include a check or money order with this form. Credit card payment information is at the bottom of this form.
*IF THERE IS A CALL NUMBER, BUT NOT A PRICE, THE ITEM IS IN THE PERMANENT LIBRARY COLLECTION AND NOT FOR SALE.
| Name of Item(s) | Stock Number | Price* | |
|---|---|---|---|
| Shipping and Handling within the United States: $5.00 for the first book, $2.00 for each additional book Shipping and Handling for Canada and International: $8.00(US) for the first book, $3.50(US) for each additional book |
Subtotal | ||
| Shipping and Handling | |||
| WA Residents Add 8.8% Sales Tax | |||
| Total | |||
| Credit Card Orders Only | |||
| Cardholder Name: (print exactly as it appears on the card) |
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| Billing Address: | |||
| City, State, and Zip Code: | |||
| Credit Card Number: | Type of Card (circle one): VISA MasterCard | ||
| Both required: Daytime Phone # and Zip Code: | Expiration Date: | ||
| Signature: | |||