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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