Order Form for "When I Look For You"

(Print this form and mail to address below with check or money order.)

Number of copies ordered: _______________
Total cost for copies ordered @ $21.00 each: _______________
(Price per copy is $18.00 + $3.00 P&H)

Mail book(s) to: __________________________________

__________________________________

Enclose check or money order for total and mail this order blank to:

Charles P. Mottola, Jr.
P.O. Box 201
Lake Hopatcong, New Jersey 07849

Please allow two to three weeks for delivery. Thank you!