Copyright Rural Farm Productions 2006

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Rural Farm Productions

V.J. Switzer

6538 Germanton Road

Rural Hall, NC 27045

Home (336) 969-2202  Mobile (336) 577-1374

Customer Name

Customer Address

Customer Phone Number

City/State/ZIP

Customer Email Address

Qty.                            Description                                   Unit Price                                     Total

Puffy the Watermelon                   $15.95

Lucy the Cantaloupe                     $15.95

Hard Heads Make Soft Bottoms     $15.95

Sub-total

Sales Tax 6.75% (NC residents only)

Shipping $4.00 for 1st book, add $0.50 each add'l

Order Total

FREE SHIPPING ON ORDERS OF

10 BOOKS OR MORE

Before Submitting your order, please print this form and mail it to the address above with your payment. Please make all checks payable to Rural Farm Productions

Thank You!