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Muslim Children Book Club

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Please provide the following contact information:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
E-mail

Please provide the following ordering information:

QTY DESCRIPTION

 

SHIPPING
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
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Choose one of the following options:

Send my children's books every month
Send my children's books every two months
I am ordering my children's books as we need them

Enter the date that you fill this form :

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Copyright 2000 [BrightKids]. All rights reserved.
Revised: June 19, 2000