MAIL-IN ORDER FORM

CD - DUSK ON THE PANHANDLE

To print this form out, simply go to the pull-down tab of FILE and set your cursor to PRINT

then click to call up your printer.

 

NAME__________________________________________________________________________________

ADDRESS_______________________________________________________________________________

CITY__________________________STATE____________ZIP CODE_____________________________

TELEPHONE_________________________ DATE_____________________________________________

Please send the DUSK ON THE PANHANDLE Quantity____________ at $24.95 each

Shipping fee: $3.00 per order shipped to one location                    TOTAL AMOUNT ENCLOSED: $ _________

Make Checks payable to: CAM-TECH PUBLISHING

MAIL TO: CAM-TECH PUBLISHING

                    P.O. Box 341

                    Fletcher, Ohio 45326-0341