Lewis Bibles Order Form

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Please print and complete this order form and mail to:

Lewis Bibles 512 Woodstock Road Woodstock, VT 05091

Phone: 802-457-1205 or 1-800-895-2200 Fax: 802-457-1227 Email: LewisBibles@aol.com

Person Sending Order: Name: _________________________________ Street Address:___________________________ City:_______________State:______Zip:_______ Telephone:_______________________________

Ship To Address (if different) Name:_____________________________________ Street Address: ___________________________ City:_________________State:______Zip:_______ Telephone:_________________________________

Item #	Qty	Description	Index	Wt	Price Ea.	Total

Totals_________________ Shipping Chart _________________ Vermont Residents add 5% tax_________________ ORDER TOTAL_________________

_________ Check Enclosed _________Credit Card - VISA & MASTERCARD ACCEPTED Credit Card Number_______________________________ Expires:_______ Please print name clearly:__________________________ RETURN POLICY: Please call for return authorization if there's a problem with your book.