ORDER FORM FOR THE FIRST ONE HUNDRED YEARS
(Please Print This Order Form on Your Printer.)
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Regular Price for each copy of the First One Hundred Years is $27.00 each.
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Note: Retired North Little Rock Firefighters qualify for an $7.00 discount.

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Note: Widows or widowed children of North Little Rock Firefighters:
Contact the author at 501-753-3695 or 501-351-0904 for a special price.
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INFORMATION NEEDED TO SHIP YOUR BOOK(S):
(The address listed below is the address I'll ship your book(s) to.)
Name _______________________________ Address _____________________________

City _____________________________ State and Zip Code _______________________

Phone (......... )___________________________ ...E-ME-Mail (Optional)____________________

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PAYMENT INFORMATION:
Payment must accompany this order form. Checks or Money orders should
be made to "Lee Clark." Memo on check should read "1st 100 Years."
I am not set up to accept Credit or Debit Cards.
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Money Enclosed:
Payment for___copy(s) of The First One Hundred Years at $27.00 each

$______
.......OR ....... Retired NLR Firefighters Special Price at $20.00 per copy........
$_______
.....OR ........Widows, widowed children of NLR Firefighters, etc: Your price is
fairly negotiable.. Contact Lee Clark at 753-3695 or 351-0904 for a price.
(Your fore-fathers made quite a sacrifice in wages and conditions!)
Write in the price that you were given aften contacting me in the blank to the right.
$______
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(2) Shipping at $3.50 per copy
(Include ONLY if you want the book mailed to you. Includes cost of mailing container.)

$_______
..OR, In lieu of shipping, I will deliver copies of the First 100 Years to NLR Fire Stations for Active Duty
Fire Fighters. Please deliver my copy instead of mailing it. I work at NLRFD Station ____ on _____ Crew.. .....
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Please enter the total amount enclosed in the blank to the right.
$_______
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SEND THIS FORM AND PAYMENT TO:
Lee Clark - 5143 Greenway Drive - North Little Rock, AR 72116

Please note: The author is paying all appropriate sales taxes to the State of Arkansas as required.
Special note: The writing and publishing of this book has been something that the author has wanted to accomplish for a number of years. The author began making
photos that are in The First One Hundred Years in 1976. The first concept for this book involved a publication that was to be only photos of the North Little Rock Fire Department, with just a very small amount of explanation. The first title that the author considered was A History In Pictures. The author hopes that you enjoy your
copy or copies of The First One Hundred Years. The book is printed locally and will not be a "letter-perfect" production. The First One Hundred Years will be printed
in black and white and will be spiral bound. (not hard-bound.) This was all done in an effort to keep the cost of the book as low as was possible.

THANK YOU FOR ORDERING THE FIRST ONE HUNDRED YEARS!