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Dare to Live Your Dreams

Please note that Paul Lawrence Productions accepts all major credit cards.
You may use this printable order form to order, simply print it, fill it out, and mail it to the below address.
If you do not have a printer, you can still use this form as a guide.

Paul Lawrence Productions, Inc.
934 N. University Dr. #291
Coral Springs, FL 33071
USA


Dare to Live Your Dreams: $49.95
Shipping & Handling: $6.95
Total: $56.90

Delivery Information

First Name _________________________________
Last Name _________________________________
Email Address _________________________________
Street Address _________________________________
City _________________________________
State/Prov _________________________________
Zipcode _________________________________
Country _________________________________

Number of Copies: ____

Credit Card ____ Visa _____MC _____
Card Number______________________________ Expiration Date _____________

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