ORDER FORM
"VOW OF VENGEANCE"
A NOVEL BY DANNY T. FERGUSON

NAME __________________________________________________________________________

ADDRESS TO SHIP TO ____________________________________________________________

CITY __________________________________________________________________________

STATE _________________________________________________________ ZIP ___________

TOTAL NO. OF COPIES ................................................___________

HARDCOVER COST ....$25 X NO. OF COPIES ............................$___________

SALES TAX .........N.C. RESIDENT ADD 7% ...........................$___________

SHIPPING COST .....$3 FIRST COPY, $.50 FOR EACH ADDITIONAL COPY ...$___________

.............................................................TOTAL $___________



MAKE CHECKS PAYABLE TO DANNY T. FERGUSON
OR SPECIFY PAYMENT BY VISA OR MASTERCARD BELOW:

_____VISA OR _____MASTERCARD

CARD NO. ______________________________________________________________________

EXPIRATION DATE ________________________

_______________________________________________________________________________
BILLING NAME AND ADDRESS (IF DIFFERENT FROM ABOVE)