PATRIMONY

Estate Planning Louisiana Style

Order Form


Print out the form and mail to:


	Three Creeks Crossing, Ltd
	c/o Marvin E. Owen			phone  	  225-292-0099
	3036 Brakley Drive			toll free 888-292-0116
	Baton Rouge, La 70816			fax 	  225-296-5780
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Please send one(1) copy of PATRIMONY, Estate Planning Louisiana Style to:

		_____________________________

		_____________________________		PH ____________

		_____________________________
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PATRIMONY, Estate Planning Louisiana Style..............   $ 24.95

	EBR Parish Tax (for sales in this parish)...4.94%     1.23
	La Sales Taxes..................................      1.00

	Shipping and mailing............................      2.50
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		total remitted..........................   $ 29.68
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PREPAID ORDERS ONLY
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PAYMENT IN ADVANCE BY CHECK IS ENCLOSED



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