Pr o v i n c i a l  Pr e s s

3653 Perkins Road ~ Baton Rouge, Louisiana   70808

2010

                 

                  DATE              ________________________________________________

 

                  NAME             ________________________________________________

 

                  ADDRESS       ________________________________________________

 

                  CITY               ________________________________________________

 

                  STATE & ZIP  ________________________________________________

 

                  E-MAIL           __________________@____________________________

 

               

How Many

Item

Number

Book  Title

Price Each

Total Price

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sub-total

 

 

Louisiana residents add 4% sales tax*

 

 

EBR Parish residents add additional 5% sales tax*

 

 

SHIPPing - Media mail       $2.50 fIRST BOOK ; $0.50 EA ADDTIONAL  

       or  priority mail       $5.50 FIRST BOOK; $0.75 EA ADDITIONAL

 

 

Total enclosed (Check or Money Order)
mAKE cHECKS AVAILABLE TO
cLAITOR'S PUBLISHING DIVISION

 

 

*Note ~ Public libraries and institutions are exempt from state and local taxes. 

 

Print, complete, and mail above order form to the Provincial Press address.

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