Gopher State Publications
P.O. Box 171 • Owatonna • MN • 55060 • U.S.
E-mail ampatriot@charter.net
O r d e r F o r m (Direct from the Author)
SHIP TO:
ORDERED BY:
Name
Name
__________________________________________
______________________________________________
Address (line 1)
Address (line 1)
__________________________________________ ______________________________________________
Address (line 2)
Address (line 2)
__________________________________________
______________________________________________
City _____________________________________
City __________________________________________
State or Province ___________________________ State or Province ________________________________
Country ___________________ Zip ____________ Country ______________________ Zip_______________
PAYMENT BY:
Check ___ Money Order ___ Amount Enclosed $_________ Date Ordered __________
Payment Policy:
Full payment with order required.
.
ITEM NO.
DESCRIPTION
QTY.
COST
S/H TOTAL AMOUNT
Islam & Christianity
(SC)
____
$15.00 $3.00
$___________
We the People, Volume I
Softcover
____ $18.95 $3.00
$ ___________
Hardcover
_____ $25.95 $4.00
$ ___________
We the People, Volume II
Softcover
_____
$19.95 $3.00
$ ___________
Hardcover
_____ $27.50 $4.00
$ ___________
Volume I & II (SAVE 15%)
Softcover
_____ $34.00 $5.00
$ ___________
Hardcover
_____ $45.50 $6.75 $ ___________
A Champion's Heart: Qualities for Success in Life & Sport
Hardcover/Gift Book
_____
$11.95 $3.00
$ ___________
All checks and money orders payable to:
Gopher State Publications
TOTAL DUE WITH ORDER
$ ___________
Ordered by ______________________________
Thank you for your order.
Signature Here
SPECIAL INSTRUCTIONS:
E-mail your request for 10 or more same item quantity discounts.
PLEASE PRINT THIS FORM, COMPLETE & MAIL WITH YOUR PAYMENT. THANK YOU.