| Mail Order Form: Step 1 -- Please print out this page. Step 2 -- Fill in shipping address: Name______________________________________________________________________ Address____________________________________________________________________ City___________________________ State_______________________ Zip______________ Phone________________________________ Email_________________________________ Step 3 -- Enter the quantity you'd like to order next to its description: ___ The Gallagher's book "NO MORE SECRETS - A Family Speaks About Depression, Anxiety and Attempted Suicide" $19.95 plus $7.50 shipping and handling (See book info at www.speakingaboutdepression.com) ___ Two team of angel lapel pins, packaged with 12 assorted poem verse bookmarks $19.95 plus $7.95 shipping and handling . ___ Team of Angel lapel pins, without the bookmarks, $10. Each plus $4.95 shipping and handling. (Just the pins!) ___Team of Angels bookmarks, without the team of angels pins, are packed in quantities, of 50 assorted bookmarks $25 plus $4.95 shipping and handling. Titles of the poems: see verses at catalog ___ TAKING ONE DAY AT A TIME ___ FOR HOPE ___ OVERWHELMED ___ PROTECT MY LOVED ONES ___ FRIENDSHIP ___ THINKING OF YOU ___ SOMEONE SPECIAL ___ TO THANK YOU ___ TO PROTECT ALL MILITARY FAMILIES ___ TO THANK OUR UNITED STATES ARMED FORCES ___ GET WELL ___ SERIOUS ILLNESS ___ PEACE ON EARTH ___ DIETERS The poems can be viewed on the website at www.teamofangels.com. (online catalog) See the poem verses by clicking here. Step 4 (PA Residents Only) -- Apply 6% Sales tax to Sub-Total: PA Sales Tax = $___________ Step 5 -- Grand Total: Sub-Total + PA Sales Tax = $_______________ Step 6 -- Mail this form and check or money order for grand total payable to: Patricia C. Gallagher PO Box 561 Worcester, PA 19490 Customer Service: #267-939-0365 or email: theangelpinlady@gmail.com
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