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Mail or Fax to 351 N. Williamson Blvd. Daytona Beach FL 32114-1112 386-322-9766 INSTITUTE FOR EMERGENCY PREPAREDNESS JACKSONVILLE STATE UNIVERSITY 700 PELHAM ROAD NORTH FAX APCO Virtual College Bookstore Order Form Student Name Daytime Phone Fax Agency Name Shipping Address City State Zip A METHOD OF PAYMENT MUST ACCOMPANY YOUR ORDER US FUNDS ONLY CHECK ENCLOSED Purchase Order VISA COPY REQUIRED MASTERCARD DISCOVER Card AMEX Exp. Date Card Holders Name Card Holders Address Signature Quantity...
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