Billing Information
Items in pink are required.

Name:
Address:
Address 2:
City:	State:
Zip Code:	Country:
E-mail:
Phone Number:

I wish to pay via Check or Money Order or Cash
Checks and money orders (made out to Sarah Bryant) should be sent to our mailing address above.

If you are unable to donate at this time, we will consider sending your request.

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Shipping Information

Ship order to my billing address (above)
Bill me (above) and ship order to this address:

Name:
Address:
Address 2:
City:	State:
Zip Code:	Country:
Messege (optional):	________________________________________ ________________________________________ ________________________________________ ________________________________________

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Items To Be Shipped

Quantity	Item Description	Each Price	Total Price
BOOK or CALENDAR ORDER: Write title of Item
KBR MAGAZINE SUBSCRIPTION & SAMPLES: Write title of Item Desired ( One or Two-Year Subscription or Sample)
This is a renewal subscription I have already received a sample of KBR and am subscribing
KBR MAGAZINE BACK ISSUES: please be sure to specify which back issues you want to receive in the large box
If ordering over ten back issues, back issues are $1.25/each.
	Shipping For Books (Magazine Prices include Shipping) $0.01-15.00.......add $3.00 $15.01-30.00.......add $5.00 $30.01-50.00.......add $7.00 over $50.01.......free These rates are for inside of the United States; please contact us for foreign order shipping rates.
	Grand total:

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