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PLEASE PRINT THIS FORM, COMPLETE, AND RETURN TO:
(If you do not have access to a printer, please email us with your order request.)
Byron Comp
23400 NW 212th Ave.
High Springs, Fl 32643
byron@gbsnightmare.com
ORDER DATE: ____________________
NAME: ____________________________
ADDRESS: _________________________
_____________________________
CITY: _____________________________
STATE/PROVINCE: ___________________
ZIP CODE: __________________________
COUNTRY: __________________________
This invoice is for copy of my book @ $13.99.
Guillain-Barre' Syndrome - My Worst Nightmare
Book Price: $________
Per Book Shipping Charge: $2.95 ________
Total Due $ _______
Please make checks or money orders payable to:
Byron Comp
And send to: Byron Comp
23400 NW 212th Ave.
High Springs, FL 32643
Please do not send cash. If you wish to use a credit card to make your
purchase, please use our link to the publisher, BookSurge.com.
Thank you for your business.
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