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Fleming Bookbinding Company

180 Harris Avenue

Quitman, MS 39355

601-776-3761

flemingbookbinding@earthlink.net

                Date ____________________                                                                                                                                                                                                    


Name of Newspaper____________________________________________________________________________                                 


 Name of Person or Department to contact ____________________________________________________________________               


  E-mail address ____________________________________________________________________                                                             


               Phone Number ________________________________                                                                                                                                                     


 Billing Address ________________________________________________________________________                                                    


 If invoices can be emailed, please put email to send to_____________________________________________________                             


Shipping Address______________________________________________________________________________                                  


Number of books __________________________________  How many months per book ___________________________________   


Color?Underline choice: 

Standard (Maroon spine/Black covers), Royal Blue, Light Blue, Tan, Black, Maroon, Red, Orange, Navy, Green & Brown                       


              Do you bind Inserts, such as:  Grocery ads, Wal-Mart ads, American Profile?   Yes _______, No __________.                                                                


             Do you want microfilm? Yes or No. If yes, positive or negative and how many copies? _____                                                                                         


What do you want to be stamped on the spine?_______________________________________________________________________


Other special instructions:  __________________________________________________________________________.                          

Files coming soon.

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Fleming Bookbinding Company