Name: ____________________________________________________________________________________
Address:___________________________________________________________________________________
City:_________________________________________ State:________________ ZIP:______________________
Email (optional): _____________________________________________________________________________
# of copies @ $10 each _________________
+ $2 shipping and handling ______________
Total _______________________________
Please make check payable to:
Joseph DeMasi
479 3rd Ave NW
Valley City, ND 58072
Please allow up to 2 weeks for delivery