PLEASE PRINT OUT FORM AND MAIL WITH CHECK OR MONEY ORDER TO ELENA AVILA / 95-9197 PAIKAUHALE, / MILILANI, HAWAII 96789. ALLOW 3-4 WEEKS FOR DELIVERY.
Please provide the following contact information:
Name Street Address Address (cont.) City State/Province Zip/Postal Code Country Home Phone FAX E-mail URL
Please provide the following product information:
*NOTE, ALL PUBLICATIONS ORDERED THROUGH THIS SITE ARE AUTOGRAPHED COPIES.
Publication Woman Who Glows in the Dark $25.00 plus $5.00 shipping Publication Mending Wings and Building Bridges $10.00 plus $3.00 shipping
Please provide the following ordering information:
QTY DESCRIPTION BILLING Purchase Order # Account Name SHIPPING Street Address Address (cont.) City State/Province Zip/Postal Code Country