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PRINTABLE REQUEST FORM FOR SAINT JUDE MEDIA NOVELS
We will not give your personal information to other organizations.
Dear Saint Jude Media:
Please send me a copy (or copies) of your novels. I am not asking you to send any books to someone other than myself.
Signed: 
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Please print:
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Name: 
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Address: 
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Town: 
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State: 
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Zip: 
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Phone: 
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Email:
For questions about your order and to receive the monthly CatholiCity email message.
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Suggested optional donation for up to three books: $1 to $15 each. Minimum required donation for more than three books: $1 to $10 per book.
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Quantity Desired of PIERCED BY A SWORD
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Quantity Desired of CONCEIVED WITHOUT SIN
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Quantity Desired of HOUSE OF GOLD
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Total Number of Books
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X $
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Donation Per Book
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= $
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Total Donation for Books (Number of Books X Donation Per Book)
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$
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Extra gift for shipping
CANADA and OVERSEAS: You must order online using a credit card.
UNITED STATES (Optional): Add $10 for Faster Guaranteed UPS Shipping.
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$
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Optional extra gift to help Saint Jude Media
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$
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TOTAL DONATION
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Your contribution to Saint Jude Media is tax deductible. Do not write to the Mary Foundation for these books--they are only available from Saint Jude Media. Thanks.
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Please make checks payable to "Saint Jude Media" and send to:
Saint Jude Media
PO Box 26120, Fairview Park, OH 44126-0120
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