ORDER FORM FOR:

Cold Rock by Rus VanWestervelt

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.

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:_____________________________
($5.95 for first book; $3 for each additional book in this order)

6% SALES TAX:____________________________________
(MARYLAND residents only; $1.08 per book)

TOTAL ENCLOSED:________________________________

PLEASE MAKE ALL CHECKS PAYABLE TO RAVENWATER PRESS.

ALL ORDERS ARE SHIPPED TO U.S. DESTINATIONS ONLY, VIA PRIORITY MAIL, WITHIN 3 BUSINESS DAYS
OF DATE ORDER IS RECEIVED.

RAVENWATER PRESS AND RUS VANWESTERVELT THANK YOU FOR YOUR ORDER!