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Latinos in Idaho - Celebrando
Cultura # ________ Latinos in Idaho copies @ $10.00 each __________ Total __________ Idaho Residents add 6% sales tax __________ Add $3.00 for shipping __________ Total Amount Due Paying $ ___________ by check. Make checks payable to: Idaho Humanities Council Charge $ ___________ to my credit card: Visa, Mastercard, Discover (circle one) Card # __________________________________________ Exp. Date: ________ Please print name as it appears on card: _________________________________ Signature: _________________________________________________________ Ship To: Name: ____________________________________________________________ Address: __________________________________________________________ City: __________________ State: ___________ Zip: ____________ Phone: _______________ Email: ___________________________ Mail this form to: Proceeds to benefit IHC's humanities education programs. |