SmallBizRiches Printable Order Form: Dare to Live Your Dreams

Dare to Live Your Dreams

Please note that Paul Lawrence Productions accepts all major credit cards.

Make checks and money orders payable to: Paul Lawrence Productions.
Do not send foreign checks or currency; send only US dollars, money orders, or checks payable to a US bank.
Cash, credit card, and money orders get immediate shipment.

You may use this printable order form to order, simply print it, fill it out, and mail it to the below address.
If you do not have a printer, you can still use this form as a guide.

Paul Lawrence Productions, Inc.
934 N. University Dr. #291
Coral Springs, FL 33071
USA

Dare to Live Your Dreams: $49.95
Shipping & Handling: $6.95
Total: $56.90

Delivery Information

First Name	_________________________________
Last Name	_________________________________
Email Address	_________________________________
Street Address	_________________________________
City	_________________________________
State/Prov	_________________________________
Zipcode	_________________________________
Country	_________________________________

Number of Copies: ____

Credit Card ____ Visa _____MC _____
Card Number______________________________	Expiration Date _____________

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