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To order a book, please print out the form below, complete, and send along with a check or money order to:

Anna Mary Feldmeyer
204 3rd Street
Huntingburg, IN 47542

Please make check payable to Anna Mary Feldmeyer.

Note: For addresses within the continental United States, Shipping and Handling is only $3.00 no matter how many books you order! If ordering from other than the continental U.S. please contact us at uhlpottery@gmail.com for shipping charge information before placing an order.

Quantity	Cost per book	Sub-Total
	16.95
			Indiana residents only, add 6% sales tax
		3.00	Shipping and Handling
			TOTAL COST

Name __________________________________________

Address __________________________________________

__________________________________________

City State Zip

Phone* __________________________________________

Email* __________________________________________

*Optional, but if there were to be a problem with your order,

this will help us contact you.

THANK YOU!