Order Form


	Name ______________________________________________________________

	Address ___________________________________________________________

	City ______________________________  State_________  Zip code _____


	Title                                          Quantity  Subtotal

	___________________________________________    _______   $_________

	___________________________________________    _______   $_________

	___________________________________________    _______   $_________

	___________________________________________    _______   $_________

	___________________________________________    _______   $_________


	Shipping and Handling                                    $5.95


	TOTAL ORDER                                              $_________


	Send order form with payment (check, money order, or cash.  Sorry, 
	no credit cards) to:

		Gordon White
		Box 129
		Hardyville, VA 23070
		(804) 776-7947
		gewhite@crosslink.net

    
	last revised: Dec 17, 2009