Dunsmuir Dance Book Order

Please fill out this form and send it to Jane. Your order will be shipped once payment has been received. By filling out this form, your order will be sent to Jane by email. A confirmation page will display after you send it. You can print out the confirmation form for your records and/or enclose it with your check if you wish.

If you'd rather print out this form and mail it, you may do so by filling out this form
(do not click "send form"). Submit a copy of the form with your check to Jane.

Contact/Name:
Email Address:
Address Line 1:
Address Line 2:
City:
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If other, please specify:
Notes or Comments:	* please include the quantity of books

Mail to:
Dunsmuir Scottish Dancers
c/o Jane Muirhead
29292 Harpoon Way
Hayward, CA 94544

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