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The
Syndrome
Sentinel
Mail Order Form
Back issues of The Syndrome
Sentinel are
$5 each (which includes shipping and handling).
To place your order
by check or money order
(in U.S. Funds), send this form to:
CSSA
801 Riverside Drive
Lumberton, NC 28358-4625
| Your Name |
_____________________________ |
| Street |
_____________________________ |
| City |
_____________________________ |
| State |
____ Zip
____________ |
| Telephone (optional) |
_____________________________ |
| Email (optional)
|
_____________________________ |
|
Issue |
Quantity |
Price |
|
| Winter 2001 |
______ |
$5.00 ea. |
$______ |
| Summer/Fall 2000 |
______ |
$5.00 ea. |
$______ |
| May 2000 |
______ |
$5.00 ea. |
$______ |
| November 1999 |
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$5.00 ea. |
$______ |
| August 1999 |
______ |
$5.00 ea. |
$______ |
| May 1999 |
______ |
$5.00 ea. |
$______ |
| February 1999 |
______ |
$5.00 ea. |
$______ |
| November 1998 |
______ |
$5.00 ea. |
$______ |
| August 1998 |
______ |
$5.00 ea. |
$______ |
| May 1998 |
______ |
$5.00 ea. |
$______ |
| February 1998 |
______ |
$5.00 ea. |
$______ |
| November 1997 |
______ |
$5.00 ea. |
$______ |
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Total |
$______ |
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