Grown-Up Order Form
Please order by check or money order,
please fill in the information below, print it and mail to:
AD&J Enterprises
4600 FM 1645
Timpson, Tx. 75975
Please complete a separate form for each book.
Grown-Up Books $ 14.95 plus $5.00 shipping and handling
Please Select a Book
If ordering "My Golfing Adventure", please specify the following:
| Favorite Golf Course |
If ordering "My Fishing Adventure", please specify the following:
| Fishing Partner |
If ordering "The Retirement Book", please specify the following:
| Name of Spouse (optional) |
| Favorite Activities (ex golf & tennis) |
| Place of Employment |
| Job Title (ex Vice President) |
| Number of years at Job |
| Date of Retirement (Dec. 1, 1997) |
If ordering "Baseball's Unsung Hero", please specify the following:
| Favorite Team |
| Beverage |
| Year of Game |
| Phone Number (no area code) |
If ordering "My Birthday Surprise", please specify the following:
| Date of Birth |
Information Required for each Book
| First Name |
| Middle Name (Optional) |
| Last Name |
| Man |
| Woman |
| Grown-Up's Age |
| Hometown |
| State |
| Friend (co-worker for The Retirement Book) |
| Friend (co-worker for The Retirement Book) |
| Dedication (With Love From, etc.) |
| Who Book is From (Bob and Betty,etc) |
| Date of Gift (mm/dd/yy) |
Customer Information
Your Name
Street Address
| City |
| State |
| Zip |
Please provide us with a means to contact you in case we have questions regarding your order:
| Phone |
| E-Mail Address |
Ship Book(s) To (If other than address above)
|
| Your Name |
| Street Address |
| City |
| State |
| Zip |
Payment
| $ 14.95 each Book |
| Sales tax 7.75%(Tx Only) |
| Shipping $5.00 |
| Total Cost |
Thank you for your order!
Please fill out this page, print it, and mail it, along with your check or money order
to:
AD&J Enterprises
4600 FM 1645
Timpson, Texas 75975
Please allow 2 to 3 weeks for delivery.
Thank You!
annettebradshaw2000@yahoo.com
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