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Daze Gone By Order Form
  Available on Amazon.Com         ISBN 0972153063
                                                                             13 digit ISBN 9780972153065


Available from:   
 Ten Talents Publishing                                              Deville Family Hair Salon
    147 Hwy 1206                                                                      Cuts for the whole family
     Deville, LA 71328                                                                Natures Beauty Essentials Cosmetics
                                                                                                   Circle E. Candles
                                                                                                    318-466-3737
                                                                                            899 Hwy 1207
                                                                                              Deville, LA 71328

Number of Copies wanted?   ___________________
$10.95 Each
plus $2.00 shipping

Name _____________________________________

__________________________________________


Address
_____________________________________

____________________________________

___________________________________

To Whom would you like the book (s) autographed?

________________________________________

_______________________________________

______________________________________   

Print and send to Ten Talents Publishing or
Deville Hair Salon.