Order Form
    	To Order a book print and fill in this form, and send 
	form and check to:  
			Alta Claunch
			8630 County Road 265
			Dublin, Tx 76446 USA
Return To:	
	Name __________________________________________________

	Address _______________________________________________

	City ____________________ State_______  Zip____________	
	Email Address: ________________________________________
				
Title: _____________________  Qty:___ Price:______ Total:__________

Title: _____________________  Qty:___ Price:______ Total:__________

Title: _____________________  Qty:___ Price:______ Total:__________

Title: _____________________  Qty:___ Price:______ Total:__________

                                                   S & H:    3.00
	
	  	                   Total Amount Enclosed:__________