Electronic Order Form
(Please allow 2-3 weeks for delivery)
Name
Address
City
 State
 Zip
Email Address
 Phone Number
ITEM Quantity Cost Total
Best Beach Restaurant Cookbook
7% Sales Tax will be added to all Florida Residents
 $20.00
Plus Shipping
Payment Information:
Card Type
Card Number
 		Exp (mm/yy)
/
Name on card (first / last)
Credit Card Billing Address:
Address
City
 		State
 Zip
Phone
$4 Shipping and Handling charge will be added to each order.


Printable Form available if you would prefer to mail a check or fax your order form.
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