Below is an Order Form you can print and mail to request copies of
Facing Forty (or any age) Forthrightly.
ORDER FORM
Facing Forty (or any age) Forthrightly
I desire ____________ book(s) @ $ 6.95 each
SUB-TOTAL . . . . . . . $_______________
PLUS 20% . . . . . . . . . $_______________
(To Cover Postage and Handling)
TOTAL . . . . . . . . . . .. $_______________
PAYABLE TO:
Dan Jarrard
964 Thompson Chapel Road
Wilson, N.C. 27896
PLEASE PRINT INFORMATION BELOW
NAME________________________________________________________________________
ADDRESS____________________________________________________________________
CITY_________________________________________________________________________
STATE___________________________________________ZIP_________________________