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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: SHIPPING & HANDLING (USA) * Holy Innocents Orthodox Church *Subject to change without notice 311 Hickory Ave. Value Add Harahan, Louisiana 70123 $ up to $10.00 $ 4.00 Outside of USA please telephone U.S.A. $10.01 to $25.00 $ 6.00 or send e-mail or regular mail inquiry. $25.01 to $50.00 $ 8.00 $50.01 to $75.00 $10.00 $75.01 to $100.00 $12.00 $100.01 to $150.00 $16.00

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