Crow Haven Farm – Animal Rescue Directory Order Form

Single copy: $20.00 - includes Ohio State Sales Tax, First Class Postage & Handling.

5-10 Copies: $18.00 each (to ONE address)

11-20 Copies: $16.00 each (to ONE address)

21 or More Copies: $14.00 each plus Shipping - sent Priority Mail

No of copies	Title	Cost Per Book (See Price List Above)	Total
	Directory of Animal Rescue Organizations

Your Name:	___________________________________________________
Your Name:
Organization:	___________________________________________________
Organization:
Street Address:	___________________________________________________
Street Address:
City:	___________________________________________________
City:
State:	___________________________________________________
State:
Zip:	___________________________________________________

Please tell us if you are tax-exempt by giving us your Ohio Vendor's License Number or your EIN if your organization is 501(c)(3).

Tax Exemtion information:	___________________________________________________

Phone:	___________________________________________________
	In case we need to contact you about your order.

Print out this order form and mail it with your check or money order, payable to Crow Haven Farm, to Crow Haven Farm, 5405 Hamilton Rd. Medina, OH 44256

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