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Lao-Thai Literatures

Name:____________________________
Address:__________________________
_________________________________
Phone:(____) ______________________
Attn: Von S. Siphengphone
3430 New England Dr.
Rockford, IL 61109
(815) 874-4823


Date:______________________

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Postage & Handling Chart
$0.00- $25.00.....................$3.00
$26.00- $50.00...................$5.00
$51.00- $100.00.................13%
$101.00 and up...................10%
 Sub total:.................................................$________
Postage & Handling:............................$________
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Outside the U.S.A. please call 1(815)-874-4823 or send your email to:Von Siphengphone

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