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LEGACY QUARTERLY BACK ISSUES ORDER FORM

Back Issues: $7 (U.S. Only)
Outside the U.S.: $10

Please mark your selection(s):
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Name ____________________________________________________________________________
Address _________________________________________________________________________
City _____________________________ State/Prov ________________________
ZIP _____________________ Country _________________________
Telephone ____________________________
Email ____________________________________________
Total amount in U.S. funds $ __________________

    __Check  __Visa  __MC  __Discover  
Please make check or money order payable to: Legacy Quarterly Back Issues
Card # ____________________________________________
Expiration _____________ 3-digit security code_____________
Signature ____________________________________________

Send To: Legacy Quarterly Back Issues, P.O. Box 129, Rushville, OH 43150-0129