Mail Order Form
If you are interested
in ordering, please send a money order for $25.00 per book and postage along with the attached information to my address,
as given.
Sincerely yours,
Rufus O. Jimerson, Ed. D. (267) 970-4032, rojimerson@gmail.com
(Cut
along the line below, fill-out, and mail the bottom form with a money order)
Date: _____________ _______ __________
(Month) (Day)
(Year)
To:
Rufus O. Jimerson, Ed. D.
1400 Village Boulevard
Apartment 925
West Palm Beach, Florida 33409
Number Ordered ___________ Price
Per Book is $25.00 (Discounted from $35)
Subtotal(# x Price) ___________
Shipping* ___________ *$4.40 per book.
Total Cost ___________
Shipping Address
(Where You Want the Book(s) Sent) ________________________________________________________________________________________________________________________________________________________________________________________________________________________
E- Mail Address:__________________________________________________________
Phones (Daytime)_________________________________________________________
(Evening) _________________________________________________________
Print Name: _____________________________________________________________
Signature:
_______________________________________________________________
