ORDER FORM
You may order with a credit card from the link on our Home page or print this form, complete and mail
with check or money order to
Victor Moss
4111 Muirfield
Pueblo, CO 81001
Shipping Information
First Name _________________________________
Last Name _________________________________
Address: __________________________________
City _______________ State ________ Zip _______
Orders will be mailed upon receipt of payment
MAKE CHECKS PAYABLE TO VICTOR MOSS
Credit Card Orders May be Placed by calling 1-800-289-6213
Quantity _____ @ $15.95 plus $2.05 Shipping (ea) = _______
Do you want the book signed by the author?_____________
To whom do you want it signed? _______________________
