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ORDER FORM
"So Many Ways to See...
When The Lights Go Out" by Dorothy Acton
Cost US currency $15.00 each (includes postage) to US addresses.
For shipping to areas outside the United States, add $5.00.
Mail this form with check or money order payable to:
Dorothy Acton
235 Ridgelake Dr.
Placentia, CA 92870
Your Name____________________________
Mailing Address_________________________
City______________________ State_____ Zip_______
Number of copies___________ Amount Enclosed______________
Email address__________________________________________
Do you want your book autographed?______________________
Special instructions___________________________________
If you don't receive your book within two weeks, contact
Dorothy.
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