W.T.T.A. Book CD-ROM Order Form

Please print this form to your printer after you've filled it out, and submit via U.S. mail to: Raymond C. Whisnant, 4218-A Gilbert Ave., Dallas, TX 75219-2974, USA.

Billing/Shipping Address:

Ship to Name ..:
Ship to Address:
City ..........:
State, Zip ....: Zip:

eMail address .:
Home phone ....:

Number of CDs ordering.:

Total price of CDs.....: (Price is $43.00 per CD-ROM. [See note below])

Shipping/Handling......: ($3.00 per CD.)

Order SubTotal.........:

Grand Total............: (Make check payable for the amount you enter here.)

(Note: This price is U.S. delivered only. All others, please e-mail for out of country prices.)

Payment Method: Check or Money Order (U.S. funds only)
Make all checks payable to Raymond C. Whisnant