Ordering Information

To pay by check or money order print order form, fill out and mail.

Thank you so much for your order!

Mail payments to:
Jack Shively
PMB 509 P.O. Box 2430
Pensacola, Florida 32513-2430

Today's Date:

-- mm/dd/yy

Please provide the following contact information:

Name
Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
FAX
E-mail
URL

Please provide the following ordering information.
Include the price and the totals.

QTY DESCRIPTION (INCLUDE THE PRICE)
  SHIPPING ADDRESS IF DIFFERENT FROM ABOVE
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country

For Book Orders please add $2.85 for shipping for one book and $1.00 for each additional title.

Enter the total amount in the space provided below.




Please PRINT the form, fill out and mail with payment.
Please Mail copy of order form with your Check or Money Order to:

Jack Shively
PMB 509 P.O. Box 2430
Pensacola, Florida 32513-2430

Gallery Homepage
© 1981-2004, Jack & Hannah Shively
- All Rights Reserved.