ORDER FORM: PLEASE PRINT AND MAIL WITH PAYMENT! PRE-PUBLICATION DISCOUNT ($75.00) DEADLINE IS: May 1, 2008 Thereafter: $80.00 (please be attentive in this matter) PLEASE ENTER MY ORDER FOR _____ Copy(ies) of Heritage of the Toe River Valley, Vol. VII, @ $75.00/or $80.00 each (which includes tax and postage). Please ship to (street address if possible, rather than PO Box) Name: ________________________________________________ Address: _____________________________________________ City, State, Zip Code: _______________________________ E-mail address:? _____________________________ Telephone Number: _________________ Enclosed is payment in amount of $ ________, payable to Lloyd R. Bailey. I understand that publication is projected for May 1, 2008, but unexpected delays are always possible. Mail this form and payment to: Lloyd Bailey 4122 Deep Wood Circle Durham, N.C. 27707