| Please
print clearly
Name________________________________________________________________________ Address_____________________________________________________________________ City___________________________State_____Zip Code________Country____________ Phone_______________________________________________________________________ |
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| Number of books________@$50.00 __________ | Make check or money order payable to Robert E. Ruffolo, Jr. |
| 6% NJ sales tax ($3.00 per book)__________ | We accept: VISA MC AMEX (please circle one) |
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Subtotal__________ |
cc#__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ |
| shipping @$5.60 per book__________ | exp. date ___ / ___ / ___ |
| Total__________ | Name of cardholder_____________________________ |
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Mail to: Robert E. Ruffolo, Jr. 2917 Atlantic
Avenue, Atlantic City, NJ 08401 This 224 page hardback book measures 9" x 12" |
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