Pr o v i n c i a l Pr e s s
3653 Perkins Road ~ Baton Rouge, Louisiana 70808
2010
DATE ________________________________________________
NAME ________________________________________________
ADDRESS ________________________________________________
CITY ________________________________________________
STATE & ZIP ________________________________________________
E-MAIL __________________@____________________________
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Item Number |
Book Title |
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Total Price | |
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Sub-total |
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Louisiana residents add 4% sales tax* |
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EBR Parish residents add additional 5% sales tax* |
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SHIPPing - Media mail $2.50 fIRST BOOK ; $0.50 EA ADDTIONAL or priority mail $5.50 FIRST BOOK; $0.75 EA ADDITIONAL |
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Total enclosed (Check or
Money Order) |
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*Note ~ Public libraries and institutions are exempt from state and local taxes.
Print, complete, and mail above order form to the Provincial Press address.