Billing Information
Items in pink are required.

Name:
Address:
Address 2:
City:	State:
Zip Code:	Country:
E-mail:
Phone Number:

____ I wish to pay via Check
____ I wish to pay via Money Order
____ I wish to pay via Cash
Checks and money orders (made out to Sarah Bryant) should be sent with this order form.

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Shipping Information

____ Ship order to my billing address (above)
or
____ Bill me (above) and ship order to this address:

Name:
Address:
Address 2:
City:	State:
Zip Code:	Country:
Messege (optional):	________________________________________ ________________________________________ ________________________________________ ________________________________________

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Items To Be Shipped

Quantity	Item Description	Each Price	Total Price
BOOK / CALENDAR / OTHER ITEMS: Write title of Item
KBR MAGAZINE SUBSCRIPTION & SAMPLES: Write title of Item Desired
This is a renewal subscription I have already received a sample of KBR and am subscribing
KBR MAGAZINE BACK ISSUES: please be sure to specify which back issues you want to receive in the large box
		Total:
	Shipping For Books (Magazine Prices include Shipping) $0.01-15.00.......add $4.00 $15.01-35.00.......add $6.00 $35.01-75.00.......add $8.00 over $75.01.......free These rates are for inside of the United States; please contact us for foreign order shipping rates.
	Grand total:

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