RAPPAHANNOCK BOOKS

US MAIL ORDER FORM  

                                              To Return to Book Menu & Select On-line Ordering 

Fill out form

Purchaser Address (Required)  
Name:
Address1:
Address2:
City: State: Zip:
Phone:
e-mail
Note: e-mail address is for communication only between the two parties to this transaction.
Ship-To Address (If not same as purchaser address)
Name:
Address1:
Address2:
City: State: Zip:
 
Qty Item Amount
   GRIZ NIGHTMARE   @ $9.95 = $
   ANASAZI HARVEST @ $9.95 = $
   VIGILANTE VIRUS    @ $9.95 =       $
   THE LAST GRIZZLY  @ 8.00   =      $
     
   Total $
   Priority Shipping (Add $4.00 1st book, +       $2.00 per additional book).  $
  Grand TOTAL $
Instructions for payment via US Mail: Print form and fill in.  Make check or money order to R. Leland Waldrip for GRAND TOTAL amount. Send to Rappahannock Books,          7004 Tapps Ford Rd., Amissville, VA 20106.  Your items will be shipped Priority Mail usually within 24 hours after bank clearance. 

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