Xavier Institute Letter Order Form

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I have proofed all fields and certify that they are correct. I have read the info on the Shipping page and know when to expect my item(s). I verify that I understand that item(s) will be shipped to the Paypal shipping address and not the one on this form.
Do you need to submit a form for another recipient?

NoYes
Please do not click submit more than once as multiple submissions for the same recipient may cause your order to be delayed.
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