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Personalized Autographed Book Order Form -The cost is $20 for an autographed book that will be mailed to you and your loved one. A portion of the proceeds is going towards gifts for caregivers and essential workers.
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Email *
Full Name (Person who's purchasing the books.) *
Street Address (P.O. Box) *
City, State and Zip code *
Telephone number (in case there is a question) *
TOTAL Number of books (All will be mailed as gifts) 1=$20  and the second is sent to an essential worker. (Please note - Later in the form, you will be able to share a message and address for each recipient.) *
Book #1 - Write the name(s), address and optional message to whom THIS book will be dedicated... *
Book #2 - Write the name(s), address and optional message to whom THIS book will be dedicated...
Book #3 - Write the name(s), address and optional message to whom THIS book will be dedicated...
Book #4- Write the name(s), address and optional message to whom THIS book will be dedicated...
Would you like to receive updates or be invited to future events? (Your information will NOT be given to third parties.) *
Form of payment... *
Comment/ Note:
A copy of your responses will be emailed to the address you provided.
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