



Print,
fill out and mail this form with payment, Name
________________________ Number
of copies ordered ____________ |
| KS sales
tax* (@$.82/ea), if
applicable ________ * If you are ordering in Kansas with a tax-exemption, please include your tax exempt # ___________________ Shipping (@ $3.00/ea.), if mailed _________ Total enclosed (check or money order) __________ (Please make checks payable to "Dancing Goat Press") |