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FAIRHAVEN LIST
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Myra Lopes Order Form
(please print this form and mail in with check or money order)

Name:


Address:
City/State/Zip:
E-mail Address:
Print name of person and special message if the book is a gift:


Please List Titles Below:

1.


2.
3.

  • Shipping (U.S.A.): add $3.95 ($4.95 for hardcovers). Email for shipping on more than one item
  • Shipping outside U.S.A.: Dependent upon weight and destination.
  • Massachusetts residents please add 5% sales tax.

Please send orders to:
Myra A. Lopes
71 Fort St.
Fairhaven, Massachusetts 02719
Email to: Myra A. Lopes