Please print this form out and mail in with your payment to:
Ravenwater Press, P.O. Box 20424, Baltimore, MD 21284
First 200 orders will be signed and numbered by the author.
***Larry Cohen is donating $1 (from each book sold) to Lines of Love, a foundation helping teens and young adults struggling with anxiety and depression.***
NAME:__________________________________________________________________________
SHIPPING ADDRESS:_____________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
EMAIL:__________________________________________________________________________
PHONE:__________________________________________________________________________
DATE ORDER PLACED:___________________________________________________________
SPECIAL DEDICATION OF BOOK AS SIGNED BY THE AUTHOR (example: "To Stevie, best of luck"; if purchasing multiple books, please number your dedications):
__________________________________________________________________________________
No. BOOKS ORDERED AT $17.95 PER BOOK:_________
TOTAL PRICE FOR BOOKS:_________________________
SHIPPING/HANDLING:_____________________________
($7.95 for first book; $5 for each additional book in this order)
6% SALES TAX:____________________________________
(MD residents only; $1.08 per book)
TOTAL ENCLOSED:________________________________
PLEASE MAKE ALL CHECKS PAYABLE TO RAVENWATER PRESS. ALL ORDERS ARE SHIPPED WITHIN 3 BUSINESS DAYS.
RAVENWATER PRESS AND LARRY COHEN THANK YOU FOR YOUR SUPPORT!