| 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): |
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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: |
$______ |
| .......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 |
$_______ |
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..OR, In lieu of shipping, I will deliver copies of the First 100 Years to NLR Fire Stations
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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 |
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Please note: The author is paying all appropriate sales taxes to the State of Arkansas as required.
THANK YOU FOR ORDERING THE FIRST ONE HUNDRED YEARS!
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