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purchase form
Shared by: HC11112515433
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posted:
11/25/2011
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ORDERING AUTOGRAPHED COPIES OF PICKLE BUMPS for BABY DILL

Thank you for your interest in our book, Pickle Bumps for Baby Dill. If you wish to pay online, please use

PayPal. [Note: If you want an autographed copy with a special inscription, email it to

bob@picklebumppress.com.]





Or, to order by mail, send this form with a check or money order payable to Bob Fulton:

Bob Fulton

305 Chinook Ave SW

Avon, Minnesota 56310



To what address should we send your purchase (PLEASE PRINT)?



Name __________________________________________



Address (or P.O. Box #) __________________________________________



City __________________________________________



State and Zip Code __________________________________________



Phone Number __________________________________________



Email Address (optional) __________________________________________



Autographed copy? No __ Yes __ If yes, would you like a special inscription? Yes, please add:



____________________________________________________________________________



____________________________________________________________________________



Cost of books. Please send me _____ books @ $17.95 per book __________



Shipping and Handling (See Table below) __________



Subtotal __________



Sales Tax if shipped to a Minnesota address (Add 6.875 % of Subtotal) __________



Total amount enclosed __________

1 book 2 or more books



Shipping and Handling (7-10 days) $1.95 Free Shipping





NOTE: For “rush” orders please call (320 356-7815) for more information.


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