by Blaine Paxton Hall
Order Form
Ship To:
Name_________________________________________
Address_______________________________________
City__________________State_______Zip_________
Phone Number (____)__________________________
E-Mail________________________________________
Number of Books:_______@ $24.95 each =
Subtotal:_ $_____________
NC Residents, add 6.5% Sales Tax:_$________
Shipping & Handling, add $4.95/one book,
and $2.95/each additional book:_$__________
Total Enclosed:_$____________________________
Make check or money order payable to:
Hazelhurst House
P.O. Box 5427
Pinehurst, NC 28374
Charge my Visa______ or MasterCard_______
Card#_______________________________________
Exp. Date___________________________________
Signature___________________________________