Please print.
Name:_________________________________________________
Address:________________________________________________
City:___________________________________________________
State:_______ Zip:___________
Please send me _________ copies of Ghostflowers @ $20.00 per copy.
If you wish to accept one of the special offers, please check one below.
I would like to accept Special Offer #1. Please send me 5 copies for $80.00. ___________
I would like to accept special offer #2 Please send me 10 copies for $140.00 ___________
Enclosed is a check or money order including $3.00 for shipping
and handling in the amount of _________________.
Please sign it to: ____________________________________________________________
I would like a signed copy/copies. Please inscribe it/them with this/these phrase/phrases: (Continue on back if necessary.)
____________________________________________________________
|