Please fill out this form and mail with payment

 

Ramos Publishing

166 North Front St.

Suite 186

Belize City, Belize

BELIZE

Central America

 

 

Book Title: LIBERATED – The Poems of Anne K. Lowe

 

Name:_____________________________

Address:___________________________

City:______________________________

Country:___________________________

ZIP:_______________________________

 

Please send me _______ copies           @ BZ$15.00 each _________

Postage and Handling                           @ BZ  $5.00 each _________

Total enclosed                                                           BZ$  _________

 

 

Please make money order payable to:

 

Adele Ramos

166 North Front St.

Suite 186

Belize City, Belize

Central America

 

E-mail: [email protected]

Phone: (501)-602-0181