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PRINTABLE ORDER FORM

TEN TALENTS COOKBOOK
Frank J. Hurd, D.C., M.D.
Rosalie Hurd, B.S.
P.O.B. 5209, Grants Pass, OR 97527
Phone 541-472-1113; Fax: 541-472-1116
E-mail: hurd@tentalents.net

Date:  

Ten Talents picture

Customer:

First Name:    Last Name:   
Address:
City: State:       Zip:   
Country:
E-mail: Phone:   

Ship to (if different than above):

First Name:    Last Name:   
Address:
City: State:       Zip:   
Country:

  Please enclose a gift card         Send information on wholesale discounts
Payment: Certified bank check or U.S. Postal Money Order
Exp. Date:     Signature of Card Holder:____________________________
Quantity Item Total Price
   
   
   
   
   
   
Shipping & handling:
   
Enclosed is a Certified bank check or U.S. Postal Money Order.    Total enclosed:    
Mail to: Ten Talents, P.O. Box 5209, Grants Pass, Oregon 97527 USA

Note: For multiple items ordered, shipping rates may be adjusted/reduced based on the total weight and/or value of order.

URL: http://www.tentalents.net      Ten Talents, P.O. Box 5209, Grants Pass, OR 97527 USA