Writings of Jane Orient To
order copies of Your Doctor is Not In, ($23.00),
Sutton's Law ($14.99) or |
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Your Name _______________________________________________ |
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| Address_________________________________________________ | |
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| Phone ______________________ E-mail _______________________ | |
| Credit Card: [ ] Visa [ ] MasterCard | |
| Cardholder's Name (if different than above): _____________________ | |
| Card #_______________________ Exp. date __________________ | |
| Book: _________________________________ | Quantity ______ |
| Book: _________________________________ | Quantity ______ |
| Book: _________________________________ | Quantity ______ |
Shipping ($2.99/book) $_________ |
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| 5%
sales tax, AZ residents only $__________ |
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| TOTAL $_______ | |
Jane Orient, M.D. |
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