BAHÁ'Í SERVICE FOR THE BLIND, P.O. Box 463, Ludington, MI 49431=0463
Date____________Phone (____)______________________E-MAIL: ___________________________
Purchased by:
Ship to: (if different)
Name _______________________________
Address _______________________________
City/State/Zip _______________________________
Do you need Braille labels on your tapes? ___Yes
___No
|
Qty |
Code |
Title - Indicate Large Print, Tape or Braille |
Price Each |
Total |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
All orders will be sent
as: FREE -- Matter for the
Blind Please make checks payable
to BAHÁ'Í SERVICE FOR THE BLIND. Allow 4 weeks for delivery. |
|
Total enclosed -- US funds only |
|
|
I certify that the above items are being purchased for use by the
blind or physically handicapped. Signed:______________________________________________ Date:________________________________________________ |