ORDER FORM
Please FILL OUT, PRINT and MAIL to:
Dr. Michael Johnson
Rt. 1, Box 234
Idabel, OK 74745 USA
Telephone: 580-286-7784
Fax: 580-286-7476

Order Date: _______________________

PLEASE SHIP:
QTY DESCRIPTION

TOTAL

 _____ "The Most Special Person" (ISBN 1-893672-00-X) @ $12.95 each.
 _____ "Susie, The Whispering Horse" @ $20.00 each.
 _____ "Tad Pole and Dr. Frog" @ $_________ each.
 _____ "Cowboys and Angels" @ $16.95 each.

Sub-total  

(Oklahoma residents only-- 8.25%) Tax  

Shipping & Handling ($3.00 1st book; plus $0.50 per ea. additional book to same address)  

Total Enclosed:  

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