QTY                                         TITLE                                PRICE                                                                      TOTAL

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Inscriptions of Hope Publishing
P.O. Box 175
Buchanan, N.Y. 10511
Bill To: (Name and address below should be that of the person placing the order)
Ship To: (Fill in only if different from billing address)
Name

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Address

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City                               State                       Zip

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Phone Number                        Fax

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Your E-mail Address
SUBTOTAL
SHIPPING & HANDLING
GRAND TOTAL
$2.50
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Check

Money order enclosed
THANK YOU FOR YOUR ORDER
Please allow 1-3 weeks for delivery
Name

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Address

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City                               State                       Zip

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Phone Number                        Fax

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Your E-mail Address