Holiday Sale Order Form

ORDER FORM

Complete this form to purchase any hardcover book $15.00 per copy. All softcover books are $10.00 per copy plus tax and shipping.

Receive a signed copy from the author by filling out the form below.

Submit this form and an invoice will be eMailed to you for payment prior to shipping. We take all major credit cards via PayPal guest.

Name

First Name

Last Name

Email Address

Hard Cover Book ($15.00 per copy) Title

Title

Soft Cover Book ($10.00 per copy) Title

Title

Children's book message: Signed Copy/ Details

Laughter Includes the Word Revealed, a Life of Poetry, $10.00

Mailing Address:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number