Order Form

Name: __________________________________________________

Address: ________________________________________________

City, State, Zip Code: ______________________________________

Phone: __________________________________________________

If requesting an autographed copy - name of recipient(s):

__________________________________________________

Please send _____ copies @ $19.95 + $5.00 shipping
For orders with more than one book, please add $2.00 shipping per extra book

SC Residents please add 6% sales tax _____

Total: _______________

Please e-mail or call for discount information when ordering three or more books.

Thank you!

Pamela O. Kadlec

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