Fax Order form for "The Legislature Ghost - Echoes of the Past"

David J. Carter
Eagle Butte Press Ltd 1998
Box 39
Elkwater, AB. Canada.
T0J 1C0

Or fax it to: (403) 893-2470

Please call before sending a fax. No collect calls, and please do not send cash through the mail.

Name: _________________________
Phone: _________________________
E-mail: _________________________
Shipping Address: _________________________
Street or Box number: _________________________
City: _________________________
Province or State: _________________________
Country & Postal Code:_________________________

Qty:
Price: ($20.00 each)
Price with Shipping Canada/USA: ($5.00 per item) or
Total Cost:

Method of Payment:
        
    Cheque:__
    Money Order or Cashier's Cheque:__

Email:     Copyright © 1998, David J. Carter

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