Order Form

_{^{ORDER FORM

Please print this form and fax or mail to:
_{^{Dave Strain, Dakota West Books

402 E. Custer St. •
Rapid City, SD 57701

Phone: (605)-348-1075 •
Fax: (605)-348-0615

dave@dakotawestbookseller.com}}
ORDER INFORMATION
_{^{Name _____________________________________________________
Address ____________________________________________________
City _____________________________State____________Zip______}}

            Description                                   Qty.        Price       Total

1.__________________________________________________________
2.__________________________________________________________
3.__________________________________________________________
4.__________________________________________________________
5.__________________________________________________________
6.__________________________________________________________
7.__________________________________________________________
8.__________________________________________________________
9.__________________________________________________________
10._________________________________________________________
                                                              Total merchandise _______


Postage $2.00 per order ______
                                        GRAND TOTAL (pay this amount)
_______
MAILING AND MERCHANDISE INFORMATION:

Orders will be mailed through UNITED STATES POSTAL SERVICE.
Contact Dave Strain [Phone: (605)-348-1075] {Fax: 605-348-0615} for
additional information.
Note: Prices are subject to publisher's change.

                                                Payment enclosed
_______________}}