Send Book Orders to:                                                               Questions? Send me an email:
     Laura Dahl                                                                                      
  [email protected]
     c/o "A Moth In The Darkness"  Theatrical Play                                                                    
      PO Box  6781                                                                  Please Make Checks & Money Orders to:
      Lynnwood, WA 98036-0781                                                          
Laura Dahl
                                                                                                                 
   'A Moth In The Darkness' Order Form

Total
Price for
each book
Quantity
Shipping and Handling charges:
One Book = $2.00  
1
$10.95
$10.95
Example
Five Books = $4.00 
Six -Ten Books = $7.00 
Tax 8.9%
Insurance (optional)
Shipping and Handling
One - Ten  Books = $1.00  
Insurance (optional)
Ten - Twenty  Books = $2.00  
Total Enclosed
Payment in US $ Only


Ship To: 

Name:                                                                                                                           
Address:                                                                                                                        
City:                                                         State:                 Zip:                                   

To order by mail:
Please print and fill out the requested information on our order form above.
            Please allow up to six weeks for delivery
Don't forget to include your check or money order. Book will not be shipped until you've paid. Thanks. .

                                                          
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