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Word Window Order Form

             Please print out this form when paying by check or money order.

             Please write payment to: Word Window LLC

             If paying by credit card, please go to www.wordwindow.com, find and click on 'Buy Now'.

             Date: ____________________ 

             If applicable, Purchase Order # ____________________ 


             Product Requested                                             Price             Quantity             Amount   

             Welcome to Biology DVD                                 $14.95    x    ________    =    _________

             Our Wild Animals Coloring Book                       $7.50    x    ________    =    _________

             Shakespeare for Children Picture Book           $14.95    x    ________    =    _________


                                                                                                                Subtotal     =    _________

                                                      Shipping: Add $2.00 for each item purchased   =    _________

                                                                                                                 TOTAL     =    _________ 

             Please mail this form with payment to:

             Word Window
             PO Box 1084   Swainsboro, GA 30401

             Name_____________________________________________________________

             Shipping Address:____________________________________________________

            __________________________________________________________________

          If you have questions, please email:  smile@wordwindow.com

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