"The Black Military Academy On The James River" Order Form For Book.

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The Black Military Academy


On The James River

ORDER FORM
NAME:
ADDRESS:
CITY:
PHONE: (H)
E-MAIL ADDRESS:

Qty.

STATE:
fW)

ZIP CODE:

(Please allow 2 - 3 weeks for delivery.)


Product Description
Unit

Cost

The Black Military Academy


On The James River

Total
$

$20.00

Total Order $
Shipping & Handling $ 4.50
Virginia Sales Taxes: 5.0%

$
Grand Total $

METHOD OF PAYMENT D CASH DCHECK d MONEYORDER


MAKE CHECK PAYABLE TO: Robert A. Walker, Jr.
9016 Torno Drive, Richmond, VA 23228
Credit Card DVISA DMasterCard
Number:
Exp.
Signature
CVC:

E-mail: nang67@<
Phone: (804) 266-5197

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