Order Form
Czech Pioneers - Frank and Rozalie Leshikar

Number of books ordered
($30.00 each if postmarked on or before June 17, 2011)  
($40.00 each if postmarked after June 16, 2011)
                        

Amount enclosed for book(s)                                                          

Shipping and Handling Fee(s)
($5.00 per book)
                                                                          

Total Amount Enclosed                                                                

Fill out and then print
Please make checks payable to TCGS and mail to:
Bill Hodon, 1201 Nimbus Dr.
Pflugerville, TX 78660
512-251-5201

Name:  

Mailing Address:

City, State Zip:

Phone:    E-mail:

 

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