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Order Form
PIERRE FAUCHARD ACADEMY
P.O. Box 3718
Mesquite, NV 89024-3718
Please pay in advance (international Money Order or Check)
in the amount of:
USD $20.00 in USA (includes priority shipping and handling) or
USD $23.00 for International orders (includes priority shipping and handling)
Please allow 1 - 2 weeks for delivery
U.S. currency only. Please do not send cash.
Make checks payable to PIERRE FAUCHARD ACADEMY
Number of copies of CD-ROM eBook: _____________x USD $20.00 USA shipping
Number of copies of CD-ROM eBook: _____________x USD $23.00 International Shipping
Total Amount of Order : USD $ ________________________
Orderer: ________________________________________________________
...................DR. Mr. Mrs. Miss. Ms.
SHIP TO:________________________________________________________
Mailing Address__________________________________________________
Mailing Address__________________________________________________
City_________________________State______________Zip Code__________
Country_____________________________
Your Daytime Phone Number:________________________________________
FAX Number:_____________________________________________________
Payment Amount Enclosed Money Order or Check: USD $ __________
Thank You!
