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Toads of Davis - Order Form
you can print this form and use it to order your books

Name  _______________________________ Day Phone  _______________________________ Home Phone  _______________________________ E-mail  _______________________________ Address  _______________________________ Address  _______________________________ City  _______________________________ State/Province  _______________________________ Postal Code  _______________________________ Country  _______________________________ How many books?  _______

Payment Method

Check or Money Order Just make it payable to: TED PUNTILLO and mail it with the this form. Visa         Master Card Card Number__________________________ Exp. Date_____________ Name as it appears on the card _____________________________________ Mail this form to: Ted Puntillo P.O. Box 1 Davis, California 95617 Or FAX it to: 530-750-1735