Please print out, fill in this form and send with your
CHECK to:
KATHRYN COOLEY MILLER
100 CHESTNUT DRIVE
SMITHFIELD, PA 15478
Please send me the hardback limited edition book "MY COOLEY-WALTERS
ANCESTRY from FAIRCHANCE, PA and SURROUNDING AREAS" at the
per book price, for continental U.S. orders, of $55.00 including shipping.
Contact Kathryn at (kcmiller9@gmail.com)
for shipping charges to other areas outside of the continental U.S.
| QUANT. |
U.S. BOOK PRICE |
TOTAL |
| @ $55 per book |
|
Special shipping instructions if needed:
SHIP TO ADDRESS (Please print)
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2nd SHIP TO ADDRESS if needed (Please print)
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My E-Mail address is