Writers Rising Up Order Form
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Your Name

 ______________________________ Phone: __________________________
Address ______________________________ Email Address: __________________________
City, State, Zip ______________________________
Item Cost Quantity Total
Writers Rising Up Bookplate Collection
Set of seven (7)		 $21.00   #   $
Shipping per set $2.00   #   $
MN Sales Tax $1.37   #   $
Grand Total
   $
Please send this item as a gift to:

Name

 ______________________________ Phone: __________________________
Address ______________________________ Email Address: __________________________
City, State, Zip ______________________________
CHECKS MUST BE INCLUDED WITH ORDER
Allow two weeks for delivery.

Send Personal Check Only To:

Writers Rising Up
16526 West 78th Street
# 163
Eden Prairie, MN 55347