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To pay by check or money order,
please print a copy of this order form, fill it in and
send it, along with your check or money order, to Martha
M. Tousley, C/O Hospice of the Valley, 1510 East Flower
Street, Phoenix, AZ 85014-5656. To pay by credit card (via PayPalŪ) click on the "Buy Now" button below. Note: If you'd like your book personalized and signed by the author, please attach a note to this form indicating whatever wording you would like. |
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The Final
Farewell: |
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| Order Form | |||
| Please
send me ______copy/copies of Final Farewell at $10 per copy (shipping included). |
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| Total enclosed: $ | |||
| Name | Phone | ||
| Address | |||
| City | State | Zip | |
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Make Check or Money Order payable to: |
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If you prefer to use a Credit Card, click on this button: | |||