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DALE BULLA'S WEB SITE - PRINTABLE ORDER FORM
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DATE OF ORDER___________________
Autograph book to:_______________________________________________
Please send me the following:
Amount Title ISBN Number Price Total
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BOOKS
_____Loops for Learning ISBN 1-56976-106-X @ $29.95 Each ... _______
_____The Magic Box Book (paperback) ISBN 1-884197-04-3 @ $7.95 Each ... _______
_____My Brother's A Pain (hardback) ISBN 1-884197-05-1 @ $16.95 Each ... _______
_____My Brother's A Pain (paperback) ISBN 1-884197-06-X @ $7.95 Each ... _______
AUDIO CASSETTES
_____Primary Tape ISBN 1-884197-01-9 @ $9.95 Each .... _______
_____Intermediate Tape ISBN 1-884197-02-7 @ $9.95 Each .... _______
_____Favorite Tape ISBN 1-884197-03-5 @ $9.95 Each .... _______
_____Traditional Tape ISBN 1-884197-07-8 @ $9.95 Each .... _______
_____Mythical Creatures Tape ISBN 1-884197-08-6 @ $9.95 Each .... _______
**Texas Residents Please add sales tax @ $1.39 per book (hardback) ....... _______
@ $2.46 for Loops for Learning .... _______
@ $.65 per book (paperback) ....... _______
@ $.82 per tape ................... _______
First item is $5, each additional item is $3.50 ... _______
TOTAL DUE: _______
SHIP TO:
NAME____________________________________________________________
ADDRESS_________________________________________________________
CITY____________________________________________ STATE_________
ZIP________________ PHONE______________________________________
DRIVER LICENSE#_________________________________________________
TAX EXEMPT#_____________________________________________________
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Make Check payable to: Dale D. Bulla, M.Ed.
Mail Order Form to: Dale D. Bulla, M.Ed., 7202 Foxtree Cove, Austin, TX 78750-7932
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THANK YOU FOR YOUR ORDER!
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