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				BROW-RAISERS ORDER FORM
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                PLEASE PRINT THIS FORM AND MAIL IT WITH YOUR PAYMENT TO 
				***********************
				 WHITE PINE PUBLISHING
				    378 Winkler Road
		    		   Hamilton, MT  59715	
                                     (406) 363-3405				
				 browraisers@lycos.com 
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PAYMENT ADDRESS:							
									
            NAME: ________________________________________________________	
									
STREET# / PO BOX: ________________________________________________________	

  STATE/PROVINCE: ________________________________________________________

             ZIP: ________________________________________________________	
(PLEASE SPECIFY							
COUNTRY)							
												
SHIPPING ADDRESS (IF SAME AS ABOVE, LEAVE BLANK):			
									
            NAME: ________________________________________________________	
									
STREET# / PO BOX: ________________________________________________________	
			
  STATE/PROVINCE: ________________________________________________________

	     ZIP: ________________________________________________________	
(PLEASE SPECIFY							
COUNTRY)							
	
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					PURCHASE TOTAL
	 U.S.:		
NUMBER OF COPIES: ______ X $22.00/COPY + $3.00/copy s&h (standard shipping) 
Priority Shipping, mark here ____ (additional $4/copy)  = TOTAL: __________

	Canada:		
NUMBER OF COPIES: ______ X $22.00/COPY + $5.00/copy s&h 
                                                        = TOTAL: __________    
								
INTERNATIONAL:									
NUMBER OF COPIES: ______ X $22.00/COPY + $8.00/copy s&h = TOTAL: __________

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PAYMENT METHOD (CHECK ONE):

    ______ PERSONAL CHECK  ______ MONEY ORDER / CASHIERS CHECK   !--DON'T FORGET
								 YOUR PAYMENT :-) 

* FOR CREDIT CARD PURCHASES, SEE OUR WEB SITE: HTTP://WWW.BROWRAISERS.COM

					   THANK YOU!