| Auto Accident
Personal Injury Insurance Claim (How to Evaluate and Settle Your Loss)
MAIL ORDER FORM |
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| Thank you for choosing
to order Auto Accident Personal Injury Insurance Claim (How To Evaluate
and Settle Your Loss). You won't be disappointed - we guarantee it!
Please print out and complete this form and return it via mail.
We will process your order as soon as payment is received. |
| SECTION
1: YOUR INFO |
| Name |
| Mailing
Address |
| City |
State |
Zip |
| Email |
|
| |
| SECTION
2: YOUR ORDER |
| Item |
Price |
Qty |
Extended
Price |
| Print
Version |
$
27.00 |
|
$ |
| Download
Version |
$
19.95 |
|
$ |
| Regular
U.S. Mail only for Print Version |
$
5.00 |
1
|
$ |
| |
|
Total |
$ |
|
| |
SECTION 3: PLACING
THE ORDER
Please make check or money order payable to: Diane Baldyga. |
| Via
Mail |
Diane Baldyga
Auto Accident Claims Book
19 Winona Drive
West Springfield, MA 01089 |
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