ORDER BY CHECK
Print this page, fill it out, send it along with your check
payable to:
    Renee L. Esordi
    142 Singleton Road
    Chaplin, CT 06235


* PLEASE MAKE SURE CHECK IS MADE PAYABLE TO RENEE L. ESORDI


ORDER

Product Name: You Have a Visitor: Observations on Pet Visitation and Therapy

Price: $29.95

Quantity: ______

Ct residents add 6% sales tax $_______ Please add $4.95 shipping and handling $______

Total Enclosed: $_______



SHIP TO

First Name: _______________________________________________

Last Name: _______________________________________________

Address: _________________________________________________

Address: _________________________________________________

City: ____________________________________________________

State: _________________________Zip:________________________

Email address (optional): ____________________________________

Phone: _________________________________________________




*To help speed up the check ordering process please email us (renee@esordi.com) your order conformation.

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