The Children of Ireland Group
P. O. Box 13241, Tallahassee, Florida 32317
Telephone: (850) 562-6466 Ext. 3307
Email: terry@thetrakker.com
A 501(c)(3) Non-Profit Organization
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Products Order Form

Complete Form Below, Print (Use Print Button Above) and Mail to:

The Children of Ireland Group, Inc.
P. O. Box 13241
Tallahassee FL 32317

Please allow approximately 2 weeks for shipping via U.S. Postal Service

Your Name:
Street:
City, State, ZIP:
Phone: (day) (night)
E-mail:
 

I would like to order the following products:

 
  Cost Each # Ordered Total Cost
Children of Belfast Book $19.95 ______ $_________
  Page #: Call for Quote Total Cost
Limited Edition Prints From "Children of Belfast" _______ _______ $_________
  _______ _______ $_________
  _______ _______ $_________
  Add:  $5 for Shipping $_________
  Subtotal: $_________

  Florida Residents Add 7% Sales Tax:

 $_________
  Totals:    $__________
Method of Payment:
_____ Check Enclosed
_____ Chargecard (check one):

_____ Visa
_____Master Card
_____American Express

Credit Card #: ___________________________________

Expiration Date: _____/_____/_____
Your Signature:
 Date:
//

THANK YOU VERY MUCH FOR YOUR ORDER!! 

 		  
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