SCHOOL & LIBRARY BENEFACTOR ORDER FORM
100 Ways to Strengthen & Unify Our Country (ISBN #0-9644064-9-7)

Number of books ordered
Price each	x $6.50
Subtotal	= $
If shipped to Florida add 6% sales tax	+ $
Shipping charge for first book to each address (99¢ each)	+ $.99
Shipping for additional books to same address (25¢ each)	+ $
Total enclosed (check or money order please)	= $

Ordered by:

Name: ___________________________________________________________

Street: __________________________________________ Apt. #____________

City: __________________________ State: __________ Zip: _______________

Phone: (_________) __________ - _____________________

E-mail Address: _______________________@_____________________.com

Check one of the following options:

Specify "donated by" _________________________________ inside book.

Do not included "donated by" -- just send book.

Check one of the following options:

List my name on Benefactor's Page of this web site.

Do not list my name on Benefactor's Page of this web site.

Check on of the following options:

Please select schools libraries for me in the following area:

City: ___________________ County: _______________ State:_______

Ship to (must be a school or library):

Name: ___________________________________________________

Street: ___________________________________________________

City: ______________________ State: _______ Zip: _____________

Quantity of book to be shipped to this school/library: ______________

If you are donating to more than one location, please attach a list of additional shipping addresses. Be sure to specify name, address, and quantity of books to be shipped for each school/library. Or, make a photocopy of this form and complete it for each school/library.

Please make checks/money orders payable to Aribet Books. Do not send cash. Thank you for your order! Mail this form with your payment to:

Aribet Books 
21803 Linwood Way
Boca Raton, FL 33433