U.S. Mail Order Form

Fill-out, print-out, then mail this form. Payments by check & money order ONLY!
Your cost is calculated for you and includes postage and any quantity discount.

(Note: This form will clear automatically in 10 minutes to protect your privacy)

TO ORDER YOUR COPIES OF:  "Watered-Down Electricity"

Make payable to:  John Fife
Mail to: 73-1239 Melomelo Street
                         Kailua-Kona, HI 96740-8503

First choose number of copies desired and payment method:

Copies: One copy = $8.95 Two copies = $17.90 Three copies = $26.85 Four copies = $35.80 Five copies = $40.28 Six copies = $48.33 Seven copies = $56.39 Eight copies = $64.44 Nine copies = $72.50 Ten copies = $80.55 Twelve copies = $96.66 Fifteen copies = $120.83 Twenty copies = $161.10 Twenty-Five copies = $201.38 Thirty copies = $241.65 Fifty copies = $402.75 One Hundred copies = $805.50 (in U.S. dollars)

Method of Payment: Personal check Money Order Company check
Your name:
Address:
City, State, zip:
Email address:

Now PRINT this out if OK, or Clear-it and redo:

Quantities not above, comments, questions

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