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Mail Order Form


Please print the order form below

Mail form with check or money order to

Elizabeth Park A Century of Beauty
c/o Alicia Cornelio
327 Whitewood Drive
Rocky Hill, CT. 06067
Make check payable to: Alicia Cornelio



Elizabeth Park A Century of Beauty Order Form
c/o Alicia Cornelio
327 Whitewood Drive
Rocky Hill, CT. 06067

First name:


Last name:


Organization:


Telephone:


Address:


City:


State:


Zipcode:


Email:


Today's Date: mmddyyyy


Number of Hardcover Copies: ____ @ $35.00 = $_________ subtotal


Number of Softcover Copies: ____ @ $20.00 = $_________ subtotal


Shipping and handling = 1 book: $3.95, 2 books: $4.95, 3 books: $5.95


Total payment = $_________

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