Name:_______________________________
Address:_____________________________
____________________________________
____________________________________
Phone:_______________________________
Email________________________________
.............Number of copies ___ x $30 ea =___________
..........................Illinois Sales Tax (6.5%) =___________
.................................Shipping @ $5.00 ea = ___________
(Shipping for 3 or more copies @ $2 ea) = ___________
............................................................Total =___________
Make check or money order out to: Roberts Publishing
ROBERTS PUBLISHING
46W192 Granart Road
Big Rock, Illinois 60511
Phone: 630-556-3039
Fax: 630-556-4409
Email: ccr@croberts.com
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