Please print this form and mail it with your personal check or money order payable to Tom Perry.

                Tom Perry

                P. O. Box 11

                Ararat, VA 24053

Books                                                                   Quantity

The Free State Of Patrick  $24.99                         ____ 

Ascent To Glory $14.99                                          ____

J. E. B. Stuart's Birthplace $19.99                          ____

God's Will Be Done $14.99                                        ____

Notes From The Free State of Patrick $19.99           ____

Images of America: Patrick County $19.99                ____

Images of America: Henry County $21.99                 ____

Then and Now Patrick County $21.99                      ____

Reflections on J. E. B. Stuart DVD $19.99                ____

J. E. B. Stuart Birthplace Guide $14.99                    _____

Patrick County Oral History Project $14.99              _____

Order Total                                                         ________

Virginia Residents Pay Sales Tax 5%                ________

$5 Shipping Per Order                                        ________

Total amount enclosed                                     $_______

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THANK YOU FOR YOUR ORDER!