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| Telephone Order Line 520-797-6667 Satisfaction Guaranteed! |
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The easiest way to use this form is to print it out, fill in the blanks, and fax it to us at 1-520-498-4989. To e-mail the form, simply fill in the blanks using your favorite word processor, copy all the text, paste the form into your favorite email program, and send it to info@beverlysltd.com
Customer Information
Name:_______________________________________________________________
Company:____________________________________________________________
Address: _____________________________________________________________
City: ___________________ State: ______________ Postal Code: _______________
Country: _________________ Telephone: _______________ Fax: _______________
Internet email address: __________________________________________________
Address personal autograph to: ___________________________________________
Bill To (Enter Only If Different From The Customer Information)
Name:_______________________________________________________________
Company:____________________________________________________________
Address: _____________________________________________________________
City: ___________________ State: ______________ Postal Code: _______________
Country: _________________ Telephone: _______________ Fax: _______________
Internet email address: __________________________________________________
Billing Information:
Orders outside of the USA must be pre-paid with checks drawn on a USA bank.
___ Check (enclose check made payable to Beverly's, Ltd.)
___ Purchase Order #: ___________________________________________________
Order & Pricing Information (Satisfaction Guaranteed!):
_______ COVERED WAGON WOMEN: 1851 @ $18.00 U.S. / $27.00 Canadian each,
Totaling $ _____________ Shipping and handling of $2.00 will be charged.
_______ COVERED WAGON WOMEN: 1850 - The Margaret A. Frink Diary @ $18.00 U.S. / $27.00 Canadian each,
Totaling $ _____________ Shipping and handling of $2.00 will be charged.
_______ VANISHED ARIZONA @ $18.00 U.S. / $27.00 Canadian each,
Totaling $ _____________ Shipping and handling of $2.00 will be charged.
_______ EARLY HISTORY OF MINERAL & RIO GRANDE COUNTIES, COLORADO @ $19.95 U.S.
each,
Totaling $ _____________ Shipping and handling of $2.00 will be charged.
_______ DESERT WIFE @ $17.95 U.S. / $26.95 Canadian each,
Totaling $ _____________ Shipping and handling of $2.00 will be charged.
_______ BEST FRIENDS ARE LIKE SUSPENDERS: They Hold You Up When You Are Falling Down @ $12.00 U.S. each,
Totaling $ _____________ Shipping and handling of $2.00 will be charged.
Arizona Residents will be charged sales tax based on their district residency.
How to contact US:
Fax: 520-498-4989
Email: info@beverlysltd.com
WEB: http://www.beverlysltd.com
Telephone Order Line 520-797-6667