PUBLICATION ORDER FORM
Date_______________________________________
Name_____________________________________________________________
Address__________________________________________________________
City_______________________________________ Province/State________________________
Country____________________________________ Postal Code/Zip_______________________
Phone______________________________________ Email_________________________________
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Publication#
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Title / Description
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Quantity
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Unit Price
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Total
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TOTAL AMOUNT FOR ALL ITEMS ORDERED
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15% for mailing
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Handling
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3.00
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TOTAL REMITTANCE
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Terms and Conditions of Order
- All orders must be prepaid
- Make all cheques payable to “BRANT COUNTY BRANCH OGS”
- Mailing costs are 15% per total publication order plus $3.00 handling
- For orders from the U.S.A. and overseas, please use international money order, payable in US funds
Publications may be purchased at our Library located at Smokey Hollow Estates on 114-118 Powerline Road, Brantford
Prices are subject to change without notice