POETRY ORDER FORM

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ORDERS MAY BE PLACED BY EMAILING SANDY DIRECTLY AT: snowflakes@sympatico.ca

This form must include your shipping information and e-mail address to be sent properly
(these fields have an asterisk beside them).

Please contact Sandy for discounts on orders of 10 or more

$1 from the sale of each book is being donated to Alzheimer's research.

SOLD TO:	(Please fill out all of the Sold To information)
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Last Name: *
Address: *
City: *
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Country: *
E-mail: *

SHIP TO:	(Leave blank if same as above)
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SUCH A LONG GOODBYE		QTY:	UNIT PRICE
20 poems...honest, angry, loving and heartwarming A daughter's stuggle watching her father battle Alzheimer's

			$14.95 no taxes


Please select a method of shipment:

	Pick up in Greater Toronto Area		Address will be given upon order
	Within Canada	Per Item	$3.50
	To The United States	Per Item	$4.50
	International	Per Item	$6.50
	Courier		Please Inquire

method of payment:

	Make this payment by mail
	Make this payment via PayPal Please note: There will be a $1.00 surchase for PayPal orders

Please allow 4 to 6 weeks for delivery

POETRY ORDER FORM

ORDERS MAY BE PLACED BY EMAILING SANDY DIRECTLY AT: snowflakes@sympatico.ca

$1 from the sale of each book is being donated to Alzheimer's research.

SOLD TO:

(Please fill out all of the Sold To information)

SHIP TO:

(Leave blank if same as above)

SUCH A LONG GOODBYE

QTY:

UNIT PRICE

Please select a method of shipment:

method of payment:

Please allow 4 to 6 weeks for delivery

2022 © Such A Long Goodbye