Order Form


Alicia Sims, in association with The Publisher's Mark

                      ORDER FORM
                      ----------


Your Name_______________________________________________


Address ________________________________________________


City _________________________  State ____  Zip ________



Product Title                            Qty.       Price       TOTAL
-------------                            ----       -----       -----       


Am I Still a Sister?                     _____      $ 5.00      _____


Shipping Charges:                                               _____
  ($2 for first item, $1 for each additional item)

                                   TOTAL                        _____


Please send me the products I have selected.  I am enclosing my
check or money order for $_________, which includes shipping charges.


Send to: 

  The Publisher's Mark                     A portion of the proceeds
    P.O. Box 6300                          of this sale will go to 
Incline Village, NV  89450                     support GriefNet.       
                                                  Thank you!

Phone: 702/831-5139
Fax:   702/831-5535

                      
            


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This page was last updated on 19 August 1998