Manila Review - Order Form for Check Payment
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Mail to: Manila Review
2267 Woodranch Road
San Jose 95131, USA
    Book Title / Author /                                                                    Price x Quantity = Total Price
1. Voices of My Heart by JW Bradford                                              $        x ______  = ________
2. Tears rolling down the Heartstring by Randy L. Redmond             $        x ______ =  _________
3.  Phonetical Imagery by Mark Stellinga                                          $        x

4. Feeling Poetic by Rewa Marie Fyles                                               $
5. Critic After Dark by Noel Botevera


==========================================================================
                                                                                                                Subtotal: $
                                                                                     Plus Shipping and Handling: $
                                                                                              ===========================
                                                                                                  Book Order Total  :
   DVD  Film Title / Director /                                                          Price x Quantity = Total Price
1. Closer to Home by Joseph Nabile                                                 $ 20    x ______  = ________
2.                                                                                                   $        x ______ =  _________
3.                                                                                                   $        x
4.                                                                                                   $       



==========================================================================
                                                                                                                Subtotal: $
                                                                                     Plus Shipping and Handling: $
                                                                                              ===========================
                                                                                                  DVD Order Total: $
   CD Music Title / Musician /                                                          Price x Quantity = Total Price
1. Closer to Home by Angelo Pizarro                                                $ 15   x ______  = ________
2.                                                                                                   $        x ______ =  _________
3.                                                                                                   $        x
4.                                                                                                   $       



==========================================================================
                                                                                                                Subtotal: $
                                                                                     Plus Shipping and Handling: $
                                                                                              ===========================
                                                                                                  CD Order Total: $
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