Rice Crust from the Bottom of the Pot

ORDER FORM

 

Simply fill in the yellow fields on this form and then print it using the button at the bottom of the page.

 

Send it along with your cheque to:

 

Parry Loeffler

26 Hager Place SW

Calgary AB  T2V 3L9

 

Make cheques payable to: Parry Loeffler

 

 

Delivery Address

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Address:
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*Email Address
*Phone

*used only if there is a problem with sending your order

 

 

  Quantity  Price Total

Rice Crust from the Bottom of the Pot   

 x $19.95 per copy

Add Shipping   

 x $2.99 per copy

Sub-total

Add GST at 5%

GRAND TOTAL ENCLOSED

 

Check here if you would like the author to sign the book(s)

 

Thank you. Please allow 2-3 weeks for delivery.