Pad39A Printable Order Form

Print & mail this form with
Check or Money Order
for total amount to:
Gene Seibel
816 Homm St
Bethalto, IL 62010

Confessions of a Pilot
Number of books ordered: ____ X $14.95

Shipping & Handling in the U.S.
+ $2.60 (Media Mail *) or + $4.60 (Priority Mail *)


Total

= $ __________


= $ __________


= $ __________

* Orders shipped within one business day of receipt. Priority Mail delivery time 2 to 3 days. Media Mail delivery time 7 to 10 days.
Shipping Information

Name:

Address:

City:

State:

Zip Code:

E-mail:

Comments:

____________________________________

____________________________________

____________________________________

____________________________________

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