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REQUEST for CLYC book
Please use this form to request copies of the CLYC book to be mailed.
Please enter your FIRST and LAST name:
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Phone number:
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How many copies?
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Do you want all copies sent to you?
Where should Copy#1 be shipped? Addressee's name:
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Copy #1 shipping Street address:
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Copy #1 shipping City:
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Copy #1 shipping State
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Copy #1 shipping Zip code:
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For ADDITIONAL copies to be shipped to different addresses, please list name, address, city, state, and zip code for EACH RECIPIENT. If NOT ordering additional copies please type "n/a": below
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Please include your email address so that we may contact you if we have questions:
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