Cookbook Order Form
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Enclose check payable to
Harbor View House of 1807
Mail Completed form to:
Harbor View House of 1807
213 High Street
Belfast, ME 04915
Name: ___________________________________
Street Address (no P.O. Box): ___________________________________
City, State Zip Code: ___________________________________
Email Address: ___________________________________
Telephone Number: ___________________________________
# of Copies ______ x $14.95 = $ ______
Shipping/Handling - # Copies ______ x $3.75 = $ ______
Total Amount: = $ ______
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