Contact information
Your Name:
Address:
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City/State/Zip   Zip
Daytime phone #
Evening phone #
E-mail:
Payment: Personal check (Check #     Amount: U.S. $     )
  Money order (Amount: U.S. $    )  
   
Products
Item Product name Quantity Price Total
Book Blow A Bubble, Not A Gasket $8.95
Book The Garbage Truck Comes on Tuesdays and Fridays $10.00 each
Book Develop the Habit of Joy
$5.00 each
Book set Blow A Bubble/Garbage Truck Comes On Tue & Fri $15.00 set
Tape/CD The Garbage Truck Comes on Tuesdays and Fridays
$6.00 tapes
$8.00 CDs

Tape/CD Three Cheers For Us!!!
Developing Self-Esteem in Ourselves & Others


$6.00 tapes
$8.00 CDs

Tape/CD Normal Is Gone and It Won't Be Back

$6.00 tapes
$8.00 CDs

DVD Normal Is Gone and It Won't Be Back $20.00
DVD Joy - It's More Than A Detergent $20.00
      Subtotal:
    Shipping: Orders
under $20:

Add $1.50
Orders $20+
Add $3.00
    Tax:
(Miss. only)
Add 7%
  Grand total:
Please make checks payable to Champion Communications (Must be in U.S. dollars, drawn from a U.S. bank)

 
Print and mail this order form to:
Champion Communications
P. O. Box 443
Madison, MS 39130-0443 (USA)