Divine Inspirations Order Form

DIVINE INSPIRATIONS ORDER FORM

Print out this entire order form page, then fill in your order. Slip it in with you check or money order for the total and send to:

(Checks should be made payable to Michele Livingston)

Divine Inspirations / Michele Livingston

P.O. Box 383

Camp Hill, PA 17001

Echoes in the Wind, Vol. 1	QTY	___________	@ $14.00 each	$ ________.___
Visions from Mary	QTY	___________	@ $18.95 each	$ ________.___
Messages from Beyond the Veil	QTY	___________	@ $10.00 each	$ ________.___

Red Cloud and Lakota Prints

8 x 10 Glossy	QTY	___________	@ $20.00 each	$ ________.___
11 x 14 Glossy	QTY	___________	@ $30.00 each	$ ________.___

SHIPPING AND HANDLING 10% of Total Order - $2.00 Minimum	$ ________.___
PA RESIDENTS ADD 6% SALES TAX	$ ________.___
TOTAL	$ ________.___

MasterCard / Visa #: ___________________________________________ EXP DATE: ______________

Name: _______________________________________________________

Address: _____________________________________________________

City: ____________________________ State/ZIP ____________________

Phone/Area Code: ______________________________________________