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(Please print or write legibly)
Name: _________________________________________________
Mailing Address:
________________________________________
City:
__________________State:___________ Zip Code: ________
E Mail:
_______________________________ (optional)
Order: 10 year index, chronological @ $10 each $_______
10 year index,
sorted for connection @ $10 each
$_______
Both formats of
the 10 year index @ $15 each $_______
10 year index on
CD @ $10 each $_______
(This requires Microsoft Excel to run CD)
All prices include mailing costs TOTAL $_______
To order by PayPal:
Order both formats of the 10 year index via Paypal here:
View your cart:
Or, send order form and check
payable to The Boone Society to:
P D Custer Jr