HSORDERPAGE
"Walkin' on the Happy Side of Misery"
ORDER FORM





Name_________________________________________________________________



Mailing address_______________________________________________________



Zip code_____________________________________________________


Phone # _____________________________________________________


Email (optional) _____________________________________________



# of copies ordered ____________________________________________



Inscription wanted:

(example:   “to Jigsaw, keep on hiking! ModelT")



______________________________________________________________________


Hard Copy  =  $39                                          Soft Cover = $29





                            Price includes shipping by USPS Priority Mail



Print & Send this completed form along with your CHECK or MONEY ORDER to:





J.R. “Model T” Tate

4713 Chester Harris Rd

Woodlawn,TN  37191

931-920-2692


DON’T FORGET YOUR RETURN ADDRESS!



HARD COVER
SOFT COVER
OR
get your book the E-Z way with PAYPAL

CLICK on the correct button @ TOP of page!