Purchase By Money Order 
(No Personal Checks Please)

Please print and fill out this form and mail with your money order to the address below.

Item

Quantity Price  Total
The Newport Daily Express, Coventry's Only Local Daily Newspaper

=>

$8.95

$
Special "Farewell To Phish" Edition Coventry 2004

=>

$5.95

$
** Limited Time Special**  Set of Both Papers

=>

$11.95 $
Sub Total: --------- -------- $
Shipping and Handling (see chart below): --------- -------- $
Order Total: --------- -------- $

Ship To: (Please Print Carefully)

Name:_____________________________________________________________

Address:___________________________________________________________

                 _________________________________________________________

City:____________________________State: _______ Zip Code:_____________

Country:___________________E-mail Address:__________________________

Shipping and Handling:

Order Total S & H Charges
Up to $9.99 USD $4.95 USD
$10.00 USD - $49.99 USD $5.95 USD
$50.00 USD - $99.99 USD $7.95 USD
$100.00 USD - $199.99 USD $9.95 USD
$200.00 USD and Over $12.95 USD
Please enclose your money order for the above total payable to:  H. Arzt 

and mail to:     H. Arzt
                        RarePapers.com
                        193 Elm Street
                        Newport, Vermont 05855

**Please Note - The above charges are for items shipped to anywhere in the USA.  If you are out of the 
USA please e-mail PhishSpecial@RarePapers.com before placing your order for correct shipping charges.

Thank you for your order!  
Your papers will be rushed to your door via First Class Mail as soon as your order is received.

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