Order Form

Customer Informaton:

(Please Print)
Name:_______________________________________________________

Address:_____________________________________________________

City:________________________________________________________

State:________________________________________________________

Zip Code:____________________________________________________

Phone #: _____________________________________________________

Email:_______________________________________________________

Number of books______________________________________________

Please send this form along with a check or money order in the amount of $13.95 plus taxes and
$1.75 for shipping and handling to: TWIM Publishing, PO Box 9414, Akron, OH, 44305.