Name __________________________________________________

Address ________________________________________________

City ___________ State _______ Zip _________ Country________

Number of Copies ______ @ $18.00 (US) each = $_______

Includes shipping & handling

Total enclosed:  $_______ (US funds)

Please inquire for express shipping rates.

Please mail order form and check or money order to:

Carol Lems-Dworkin Publishers
P.O. Box 1646
Evanston, IL 60204-1646 U.S.A.

e-mail: Carol@lemsdworkin.com   Phone: 847-328-1029   Fax: 847-869-4239

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