PUBLICATION BY ELENA AVILA


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

Soledad.
Copyright © 1999. All rights reserved.
Revised: March 09, 2009