President Sends
Order Form
 "Please Print This Order Form"
# Each Title Cost Each Total
  Poems of Life       (Japanese)
The World As I See It Through My Eyes

     $ 14.95     

 
                 
  Poems of Life      (English)
The World As I See It Through My Eyes		      $ 14.95          
              
                      
                
SUB TOTAL  
Shipping & Handling (See Chart Below)  
TOTAL of  ORDER  

 

SHIPPING & HANDLING CHARGES
If your
Sub Total is		 Orders
To $20.		 $20.01
To $100.		 $100.01
To $150.		 $150.01
To $200.		 $200.01
To $300.		 $300.01
To 400.		 $400.01
To $500.		 $500.01
To $600.		 $600.01
and Up
Add this
Amount		 $3.50 $4.00 $5.00 $7.00 $10.00 $14.00 $16.00 $18.00 $20.00
Ship Order TO:

 

Full Name

 

Street # and Name

 		    
City State Zip + 4
 
 (          )		  
Phone # Email

  Print This Order Form and send to:
  
Alvin Lipson
6005 Tabiatha Lane
Lanexa VA 23089
USA