| Customer Order Form | ||||
| The Legacy Workbook | ||||
| Customer Name | ||||
| Customer Address | ||||
| City, State, Zip Code | ||||
| Telephone Number | ||||
| Email Address | ||||
| LPA does not sell or share your personal information. | ||||
| Individual Workbook Order | Extended | |||
| Quantity | Description: | Price | Price | |
| The Legacy Workbook | $39.95 | |||
| Shipping and Handling | 12.00 | |||
| Subtotal | ||||
| For Kansas or Missouri Residents add Sales Tax | ||||
| Kansas Residents | 7.525% | |||
| Missouri Residents | 7.725% | |||
| Total Amount Due: | ||||
| Case (of 6) Workbook Order | Extended | |||
| Quantity | Description: | Price | Price | |
| The Legacy Workbook | $180.00 | |||
| (6 Workbooks Per Case- $30 per Workbook) | ||||
| Shipping and Handling FREE | 0.00 | |||
| Subtotal | ||||
| For Kansas or Missouri Residents add Sales Tax | ||||
| Kansas Residents | 7.525% | |||
| Missouri Residents | 7.725% | |||
| Total Amount Due: | ||||
| Make Check or Money Order payable to | ||||
| Legacy Partners of America, LLC | ||||
| Mail to | ||||
| P. O. Box 26008, Kansas City, MO 64196-6008 | ||||
| Thank you for choosing The Legacy Workbook. | ||||