Order Form for Duane Niatum's Chapbooks

Duane Niatum
2826 NW 62nd St.
WA 98107

Please send ____ copies of Journeys that Criss-Cross Darkness and Light @ $12.00 each

for a total of $_______

and shipping (@ $3 / Chapbook) of _______
$2 additional postage outside the U.S.

for a Grand Total of     $_______


____________________________________________ Name
____________________________________________ Street Address or P.O. Box
____________________________________________ Second Line (if necessary)
____________________________________________ City
____________________________________________ State and ZIP

Please include check or money order, sorry no C.O.D.s
Please allow 10 days for delivery.

Print out this form, fill out and send to the above address.

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