Date:

Name:

Address:

City:

State:

Zip Code:

___________
Path CD $15.00 U.S./each, includes U.S. shipping (foreign, add $5.00 U.S. for shipping).
How Many=

___________
Time Tales CD $15.00 U.S./each, includes U.S. shipping (foreign, add $5.00 U.S. for shipping).
How Many=

___________
Time Tales LP $25.00 U.S./each, includes U.S. shipping (foreign, add $5.00 U.S. for shipping).
How Many=


Please contact us for quantity discount for wholesale distributors.

PRINT . . . this page; then find a manual writing instrument to complete this order form. Fill in today's "Date, Name, Address, City, State and Zip Code;" fill in "How Many=" and, if applicable, "Sizes" under each item desired. Send check or money order with completed order form to:

Placer Publishing, P.O. Box 169, Bonner Springs, Kansas, 66012.


Allow 4-6 weeks for delivery.

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