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Order Form for Create a Co-op City
Fill Out on the Screen and Print this Form

Fax it to: 207-934-6262 OR
Mail it to:
J. L. B. Publishers
P.O. Box 560
Old Orchard Beach, Maine 04064-0560

For Credit Card Orders Or More Information About the Teacher's Guide
Call 207-934-6269
7 Days A Week

Name
Address
City, State
Zip Code
Email
Telephone
(Credit Card)

Guides $10.95 each
PPD US 4th Class
Guides 3 for $20
PPD US 4th Class
Priority Postage Please Add
($3.00 US only)

Total
(ME Residents: 5% Sales Tax)

Payment Options
Card Number
Expiration Date:

Signature_______________________________________


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