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Print and complete this video order form and include it when you send your check or money order for
$59.95 (per video) made payable to The Duchess Fund to:
The Duchess Fund
M214 Sugarbush Lane
Marshfield, Wisconsin, WI 54449
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| Quantity: __________ |
| Name:
_________________________________________________________ |
| Address:
_______________________________________________________ |
| City, State, Zip Code:
____________________________________________ |
| E-mail Address:
__________________________________________________ |
| Phone:
_________________________________________________________ |
| Sorry, no credit card
orders |
| Florida Residents add
6.75% Sales Tax or $4.05 - total $64.00 (per video) |
|
| Return
to Duchess Fund Shopping |