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* 1. Do you want to order the MALI 2015 Reflections Journal of student writings?

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* 2. Please provide basic demographic information so we can reach you if needed.

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* 3. Do you want to order a color copy for $15 per book or a a black and white copy for $8.00 per book, or both?

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* 4. How many of each type of book?

  1 copy 2 copies 3 copies 4 copies
Black & White copy @8.00 each
Color Copy at $15.00 each

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* 5. Do you want the Reflections Journal mailed to you, or do you want to pick it up at the 2015 MALI conference?

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* 6. Answer ONLY IF you want it MAILED to you, please provide the address you want it sent to.

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* 7. MAILING COSTS

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* 8. Payment Due

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* 9. How will you pay for your MALI 2015 Reflections Journal student publication?
NOTE: All payments must be received before May 27, 2015.

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