If you wish to pay for Images of America: GROVELAND by check, follow these directions.

1. Print this form.

2. Complete the form.

3. Make check payable to: Crosswords Communications. (see chart below for correct amount)

4. Mail form and check to: Doris Bloodsworth, 1295 Burning Tree Ct., Winter Park, FL 32792.

NAME _____________________________________________________

ADDRESS _________________________________________________

CITY ___________________________________  STATE ____  ZIP ________

PHONE __________________________

E-MAIL _________________________________________

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Check one:

___   $23.53 = ORDER BOOK. Pick up at the Groveland Historical Museum.

___   $23.53 = ORDER GOOK. Pick up at the Marion Baysinger Memorial Library.

___   $28.37 = ORDER BOOK. Ship to Florida address. (if different than above, include shipping address)

___   $26.94 = ORDER BOOK. Ship out of state in U.S.

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Do you want the author to autograph your copy? __________

Questions? E-mail dorisbloods@earthlink.net or call 407-797-9393.

Thank you for your order. Proceeds from the book help fund the Groveland Historical Museum, a 501(c)(3) nonprofit charity.