"the black military academy on the james river" order form for book

1
For additional copies of The Black Military Academy On The James River ORDER FORM NAME: ADDRESS: CITY: PHONE: (H) E-MAIL ADDRESS: STATE: fW) ZIP CODE: (Please allow 2-3 weeks for delivery.) Qty. Product Description The Black Military Academy On The James River Unit Cost $20.00 Total Order Shipping & Handling Virginia Sales Taxes: 5.0% Grand Total Total $ $ $ 4.50 $ $ METHOD OF PAYMENT D CASH DCHECK d MONEYORDER MAKE CHECK PAYABLE TO: Robert A. Walker, Jr. 9016 Torno Drive, Richmond, VA 23228 Credit Card DVISA DMasterCard Number: Exp. Signature E-mail: nang67@< Phone: (804) 266-5197 CVC:

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Order form for "The Black Military Academy on the James River" by Robert A. Walker Jr.

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Page 1: "The Black Military Academy on the James River" order form for book

For additional copies ofThe Black Military Academy

On The James River

ORDER FORMNAME:ADDRESS:CITY:PHONE: (H)E-MAIL ADDRESS:

STATE:fW)

ZIP CODE:

(Please allow 2 - 3 weeks for delivery.)Qty. Product Description

The Black Military AcademyOn The James River

UnitCost

$20.00

Total OrderShipping & Handling

Virginia Sales Taxes: 5.0%

Grand Total

Total$

$$ 4.50

$$

METHOD OF PAYMENT D CASH DCHECK d MONEYORDERMAKE CHECK PAYABLE TO: Robert A. Walker, Jr.9016 Torno Drive, Richmond, VA 23228Credit Card DVISA DMasterCardNumber: Exp.SignatureE-mail: nang67@<Phone: (804) 266-5197

CVC: