Order Form

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1. Simply complete the information below and click submit.

2. Print this form, complete and mail it to: Legacy Publishing, PO Box 181530 Fairfield, OH 45018

3. Call (866) 391-7281 with your information and credit card number.

Order Form
Please note that all fields followed by an asterisk must be filled in.
First Name* First Name*
Last Name* Last Name*
E-mail Address* E-mail Address*
Street Address* Street Address*
City* City*
State/Prov* State/Prov*
Zip/Postal Code* Zip/Postal Code*
Country* Country*
Home Phone
Business Phone
Fax
Name of Reunion/Event* Name of Reunion/Event*
Date of Reunion/Event* Date of Reunion/Event*
Quantity of Books * Quantity of Books *
Credit Card #* Credit Card #*
Expiration Date:* Expiration Date:*
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