Book Orders

SELECT BOOK	WHITE SHAKA BOY (19.95 INCL. US SHIPPING) CIGARETTE SEDUCTION (19.95 INCL. US SHIPPING) BOTH BOOKS
First Name:	*
Last Name:	*
Title:
Company:	*
Address:
City:
State, Zip Code:	,
Telephone:
Fax:
E-mail:	*
Number of COPIES:
MESSAGE TO AUTHOR:
Select Book Order

Credit Card:
Name on Card:
Card Number:
Expiration:	/

Total Amount $:

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You may also fill out this form, print it and fax to (320) 213-4464 or you can mail it with a check payable to: TECHmarketing 91 Highland Rd. Scarsdale, NY 10583