QTY	DESCRIPTION

Order 1	SHIPPING
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
e-Mail Address	optional
Phone Number	optional
Check Here	Please send Check for $55.00 to address below          Confirm by Checking this box.

The price per copy of $55.00.

Make check payable to:  Lori Reddell (Please include this Order Form when mailing check).  If ordering more than 3 books, please submit separate form for each name and address so I can ship the book directly to them, saving additional shipping charges on your end.

Submit Form Below OR Fill in Form Print  and Mail Check Payable to:

Lori Reddell
HC 30 Box 92
Pelsor, Arkansas 72856

Submit Form Electronically below and follow up with Check to Lori Reddell at address above.