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Text Box: PRODUCTS REQUEST FORM PLEASE PRINT ! ! ! THIS FORM WILL BE PHOTOCOPIED AND ADHERED TO YOUR SHIPMENT AS THE SHIPPING LABEL REQUEST PLACED BY: Name__________________________________________________ Address________________________________________________ City/State______________________________________________ Zip____________________ Country (if not USA)_____________________________________ SHIP TO (If same as above, please enter “same” on Name line): Name__________________________________________________ Address________________________________________________ City/State______________________________________________ Zip____________________ Country (if not USA)_____________________________________ Each of these publications is available on our web site for free download. Since you can obtain them free, if you wish to obtain a copy of any of these publications from us, it is obvious that you wish to do so for the purpose of making an donation - which we deeply appreciate. Propriety requires the total requested donation amount accompany your products request. Send product request with donation in US funds to: Holy Innocents Orthodox Church 311 Hickory Ave. Harahan, Louisiana 70123 U.S.A. SHIPPING & HANDLING (USA) * *Subject to change without notice Value Add $ up to $10.00 $ 4.00 $10.01 to $25.00 $ 6.00

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