RAG Fiction Short Story Order Form
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To select or change quantity (QTY) ALWAYS press TAB KEY to see prices.

Order No./ Title	Qty-TAB	Unit Price	Ext. Price
.	.	Subtotal:

TAXES AND TOTAL CHARGES -- US FUNDS

California Sales Tax is 8.00% (Subtotal)	Check here.
	Total:

CUSTOMER INFORMATION

Name:
Address:
City, State, Zip:
Date Mailed:
Email address:
Your check or money order amount is:

Print and Mail this Order Form with Check or Money Order to:

Richard L. Swift 514 West Front Street Covina, CA 91722

End of RAG Fiction Novel Order Form
We present Romance, Adventure and Glamoure.