Book Order FormTime Outs for Grown-ups (paperback) $10.00 each Quantity_____ Total__________ Shipping is $5.00 for the first text and an additional $1.00 for each additional text Total Amount enclosed___________ Shipping Information Name:________________________________________________ Address:______________________________________________ City:_______________________ State________ Zip:__________ Email:________________________________________________ Phone (optional):________________________________________ Mail the completed form with a check or money order (no cash) to: Sheila Buska Your order will be confirmed by e-mail when received. |