Mail in check or money order.(US and Canada Only - Please) Please PRINT clearly.
Please fill out all items, calculate totals, and make checks payable to: Jefferis Peterson

Mail to: 111 S. Magnolia Dr.
Butler, PA 16001
FAX: (503) 212-6873

Allow 2 weeks for Delivery
Title
Quantity
Price per book
Subtotal
 

Pardoned or Paroled? by Jefferis K Peterson

 

________ x
$13 =
__________
_________
Provide Tax Exempt Number _____________________or Sales Tax {PA only}+ 6% =
_________
 
Total Order =
__________
First Name
Last Name
Company
Phone Numbers where you can be reached? {Please include Area code}
     
Street Address
 
City
State/Province
Country
Zip/Postal Code
     
Email:
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