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To order "The Magical Bond", print this form, fill it in and fax it to;

Smith-Garrity, Ltd., 540-592-3966

Or attach it to an e-mail to;

EQUSA@aol.com

Name ___________________________________
Street Address _____________________________
City _____________________________________
State ____________________________________
Country __________________________________
Telephone ________________________________
E-mail Address ____________________________

Message __________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________

To contact Smith-Garrity, Ltd. by phone, call 1-800-800-4261


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