Learning at Home, Successfully, Book Order

Across the Kitchen Table: Book Order Form
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Please type or print clearly

SHIPPING ADDRESS

To:__________________________________________________________________________________

Address: __________________________________________________

Address: __________________________________________________

City: ______________________________________ State:_________ ZIP __ __ __ __ __ - __ __ __ __

Phone: (_________) ______________________

e-mail: ___________________________________________________

QUANTITY.......................ITEM........................................PRICE EACH...EXTENDED AMT

(________).........ACROSS the KITCHEN TABLE....................$15.99.............($________)

(MN Residents Sales tax $1.04 per book) ...........................................................($________)

MAILING FEE ........................................( $ 2.50 per book ).............................($________)

TOTAL................................................................................................................($________)

Check Number _____________________ Amount Enclosed ____________________

Please send this form along with your check (payable in US Dollars), to
Learning at Home, Successfully, 3952 Hunters Hill Way, Minnetonka, MN 55345-1121

Merchandise will be sent media (book) rate via USPS