Price Guide Order Form
Please fill out ALL information and then Print out this page and send with your Payment  
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        Name: 

        Email: 

        Address: 

City/State/Zip: 

Are You A Jim Beam Club Member? YES  NO

Do you wish to receive an email when updated Price Guides are issued? YES  NO

CURRENT ISSUE  @ $15.00 (Includes S&H)........ 

NEXT ISSUE  @ $15.00 (Includes S&H) ............................................... 

CURRENT ISSUE-LARGE TYPE EDITION  @ 21.95 (Includes S&H) . 

NEXT ISSUE-LARGE TYPE EDITION @ $21.95 (Includes S&H)..... 

"COMBO" - ONE OF EACH - CURRENT  @ $29.95 (Includes S&H).............................. 

"COMBO" - ONE OF EACH - @ $29.95 (Includes S&H)......................... 

SHIPPING OUT SIDE OF U.S. PLEASE ADD $3.50 ...
                                                                                                 TOTAL 
  MAKE CHECKS PAYABLE TO:   Evergreen Club  -  519 NE 165th #E-12, SEATTLE, WA  98155
 
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