Poetry in Focus
Another Life
Printable Purchase Form

Your Information:
Name:  
Address:  
City, ST, Zip  
Ship to (if different):
Name:  
Address:  
City, ST, Zip  

Qnty Description: Price S & H Total
  Poetry in Focus $8.50 $3.50 .
  Another Life (hardback) $29.00 $4.00 S&H .
  Another Life (soft cover) $19.00 $4.00 S&H .
     
Sub Total
__________
    __________
    Total __________

Mail Form (or print clearly information needed) along with your Check or Money Order to:

James O'Brien
3305 Reeder Ave
Bakersfield, CA 93309

Make payable to James O'Brien

Thank You for Your Order

Have Questions??

 

Form by Designer Lady