WHAT I SEE WHEN I CLOSE MY EYES-ORDER FORM
NAME
ADDRESS
CITY/STATE/ZIP
PHONE OR E-MAIL CONTACT:
SHIPPING ADDRESS (COMPLETE BELOW ONLY IF DIFFERENT THAN ABOVE)
NAME
ADDRESS
CITY/STATE/ZIP
NUMBER OF BOOKS x $10.00
PAYMENT ENCLOSED (Cash, Check, or Money Order)
SUBTOTAL
$2.00 S&H
TOTAL
PRINT THIS PAGE AND MAIL
ORDER AND PAYMENT TO:
PENNY CHASTAIN
1101 WEST ESSEX
KIRKWOOD, MO 63122
www.dreamswisheshopes.com
dreamswisheshopes@sbcglobal.net
