ORDER FORM

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"IN TOUCH WITH EVERY EMOTION"

ORDER FORM

PLEASE FILL OUT ALL FORMS FOR FASTER SERVICE. YOU WILL ALSO RECIEVE AN E-MAIL FROM ME CONFIRMING YOUR ORDER.
"IN TOUCH WITH EVERY EMOTION"
THANKS YOU FOR YOUR SUPPORT...

FIRST NAME:

LAST NAME:

ADDRESS:

CITY...STATE...ZIP CODE...

(AREA CODE) DAYTIME PHONE NUMBER:

E-MAIL ADDRESS:

HERE'S WHAT YOU'LL NEED TO DO:

NOTE: EACH BOOK IS $15.00 PER COPY...POSTAGE AND HANDLING INCLUDED IN THE PRICE...

YOUR COPY(S) WILL BE SHIPPED 5 TO 10 DAYS FROM DATE OF MONIES RECEIVED. PLEASE SEND MONEY ORDER OR CASHIERS CHECK ONLY!!! To:
Markess A. Wilder
P.O. Box 46893
Cincinnati, Ohio 45246-0893
(THEY'RE HERE!!! The books are ready to order. NOT available in stores...YET!)

1
2
3
MORE!!!
IF YOU CHECKED MORE THAN 3...
HOW MANY?

Inscription (Autographed to)

FOR MORE INFORMATION PLEASE CONTACT
Markess A. Wilder

Or Call My BOOK LINE For More On How To Order:

(513) 766-2001 Ext. 9520
V-Mail/Fax