Order Form

Please print this form, list what you want, and return the form with payment to:

Kenneth Simmons

502 7^th Avenue SE

Valley City, ND 58072

Or just enclose a note saying what you want.

Please make checks payable to New Way Publishing.

Title	How Many	Price Each	Total Price
Postage: Add $2.50 for Media Mail or $5.00 for Priority Mail
Insurance (Optional)			1.65
Total Enclosed

Name:

Address: