"Dolphins' World" Order Form

$17.70 per copy - Shipping is FREE within the USA!!!

Billing Information Delivery Information


First Name ____________________________

Last Name ____________________________

Billing Address _________________________

City _________________________________

State ________________________________

Postal Zip Code _______________________
Same as billing

First Name ____________________________

Last Name ____________________________

Billing Address _________________________

City _________________________________

State ________________________________

Postal Zip Code _______________________

Charge my Credit Card

Check/Money Order Enclosed

Credit Card Number ________________________

Expiration Date (mm/yy) _____/_____

Telephone

Autographed by the Author at no extra charge?


Number of Copies at $17.70 each.

$ Total Enclosed

Telephone Credit Card Order - Dial our toll free number 1-800-324-5018 to order by phone.

Fax - Fax this form to us at 1-541-607-6373.

Postal Mail - Send this form by mail with check, money order, or credit card information to:

Dolphins' World
1050 - D Bethel Drive
Eugene, Oregon
97402

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