Mail Order Form to Be Printed Out


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: 2251 Windmill Run, Wimberley, TX 78676

Allow 2 weeks for Delivery
Pardoned Or Paroled Book order

Pardoned or Paroled? by Jefferis K Peterson

Price per book

Quantity________ x  $13 = __________

Provide Tax Exempt Number _____________________
or Sales Tax {TX only}+ 8.25% = _________
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:  __________ __________

Do you want to be on our mailing list? Yes ___ No___

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