ORDER FORM
Payment or Purchase Order
(must accompany this form)
Four Hundred Brothers and
Sisters ...
(Book One)
_______ copy/copies $25.00
(Can.) no tax
Handling and Delivery $5.00
(1-2 books)
U.S. Funds + $$27.00 incl.
mailing (1 book)
400 Brothers and Sisters ... (Book Two)
______ copy / copies @ $20.00
(Can.) no tax
Handling and Delivery $5.00
(1-2 books)
U.S. Funds + $$23.00 incl.
mailing (1 book)
$___________ Total
(date)
(signature)
Cheque/Money Order enclosed - made
payable to:
M.H.O.H. Alumni
712-5444 Yonge Street, Toronto M2N 6J4
tel. # 416-221-3161
* * * * * * * * *
(to be shipped to: Please print)
Name_____________________________________________
Address___________________________________________
City / Prov
State____________________________________
Postal / Zip
Code___________________________________
Tel. #_________________
e-mail _____________________
