ORDER FORM
Lighting Your Path! How to Create the Life You Want
by Joanne Victoria

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FOUR EASY WAYS TO ORDER:
1. Phone (360) 377-2995 and have your credit card ready.
2. Mail completed order form with check or credit card info to:

Joanne Victoria
2916 NW Bucklin Hill Road #327 — Silverdale, WA 98383

3. Fax completed order form with credit card info to: 415-485-9295.
4. E-mail all requested info & credit card info: BookOrder@joannevictoria.com

Your book will be mailed within two business days.

Name:__________________________________

Billing Address:_______________________________

Telephone:______________________________

Fax:___________________________________

Email:_________________________________
(Your order will be confirmed with your e-mail address.)

First book @ $15.95 ($12.95 + 3.00 S&H)	$ 15.95
Each add'l book @ $13.45 ($12.95 + 1.50 S&H)
_____number of books at $13.45 each =	_________
Total Amount	_________

By check: # _____ (please make payable to Joanne Victoria) mail check to: Joanne Victoria, 2916 NW Bucklin Hill Road #327 — Silverdale, WA 98383

By credit card, please provide info:
____ Visa ____ MasterCard ____ Discover ____ American Express

Card number:________________________Expiration Date: _________

Name on Card:______________________________

Signature:__________________________________

Please note that this charge will appear on your credit card statement as:
MTC Business Svcs. For customer service call us at 858-780-1945.