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Order form for "The Black Military Academy on the James River" by Robert A. Walker Jr.
Citation preview
For additional copies ofThe Black Military Academy
On The James River
ORDER FORMNAME:ADDRESS:CITY:PHONE: (H)E-MAIL ADDRESS:
STATE:fW)
ZIP CODE:
(Please allow 2 - 3 weeks for delivery.)Qty. Product Description
The Black Military AcademyOn The James River
UnitCost
$20.00
Total OrderShipping & Handling
Virginia Sales Taxes: 5.0%
Grand Total
Total$
$$ 4.50
$$
METHOD OF PAYMENT D CASH DCHECK d MONEYORDERMAKE CHECK PAYABLE TO: Robert A. Walker, Jr.9016 Torno Drive, Richmond, VA 23228Credit Card DVISA DMasterCardNumber: Exp.SignatureE-mail: nang67@<Phone: (804) 266-5197
CVC:
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