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Toads of Davis - Order Form
you can print this form and use it to order your books

 Name  _______________________________
Day Phone  _______________________________
Home Phone  _______________________________
E-mail  _______________________________
Address  _______________________________
Address  _______________________________
City  _______________________________
State/Province  _______________________________
Postal Code  _______________________________
Country  _______________________________

How many books?  _______

Payment Method

Check or Money Order
Just make it payable to: TED PUNTILLO
and mail it with the this form.

Visa         Master Card
Card Number__________________________
Exp. Date_____________

Name as it appears on the card


Mail this form to:

Ted Puntillo
P.O. Box 1
Davis, California 95617

Or FAX it to: 530-750-1735