Don Carlson's Poetry Book Order Form

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US orders only, please.
Mail Orders to:

Don J. Carlson
P.O. Box 802
Leavenworth, KS 66048



Name: _________________________________   Phone#: (     ) ___________________

Address: ______________________________________________________________

Address 2: _____________________________________________________________

City: _________________________   State: ___________________   Zip: ___________

Email Address: __________________________________________________________


Method of Payment (X) *:

Money Order: ____________________   Check: ____________________

Product	Price	Quantity	Total
Bestbook Poetry Guide	$12.00
Comfortable Chickens and other stories...	$16.00
Drawing People on the Run	$ 5.00
Ignoramus Meets Poor Richard	$ 6.50
truth in lower case	$ 4.75
Hurry	$ 4.00
		Sub-total
		Shipping	0.00
		Total:

Special Notes: __________________________________________________________

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* Personal checks will be held for up to 10 days to clear. Cash payments are not accepted.
Don Carlson is not responsible for lost orders or payments.

All monies must be in the form of US negotiables.

All sales are final. Don Carlson is not responsible for any product damaged during the
shipping process.