Verex Press Mail-in Order Form

Shipping Information:

Name: ____________________________________________

Address: __________________________________________

City: __________________   State: _____   Zip: ___________

Phone: ___________________

e-mail: ___________________

 
Title / Description....................................               Price               Quantity          Total

Red Rock Odyssey                                               24.95               ______        _______

Red Rocks of Southern Nevada                            21.95               ______        _______

 Subtotal .................................................................................................        _______

Sales Tax (8.00% for all shipments to addresses in Nevada).....................        _______

Shipping & handling $2.95 for first book plus $1.95 for each
additional book .......................................................................................        _______

                                                                                           Order Total:    __________

Please print this order form and mail it with your check or money order made payable to:

Verex Corporation
4535 West Mardon Avenue
Suite B
Las Vegas, NV  89139
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