P.O. Box 291, Wilton, CA 95693 | Phone/Fax:(916) 687-7457
Email: stacymaeda@yahoo.com | www.stacymaeda.com

ORDER THE BEAUTIFUL SWAN		Date_____________________________________
Ship to:		Bill to: (if different from shipping)
Name_____________________________________		Name_____________________________________
Address___________________________________		Address___________________________________
City______________________________________		City______________________________________
State_________________Zip__________________		State_________________Zip__________________
Your email address___________________________________

Please send me              copies of The Beautiful Swan              copies X $14.95 $12.95 each $             CA residents, add your local state tax                Shipping, add $3.00 (Free shipping for 2 or more books to the same address)                Total enclosed $

Check payment method:

Check/money order

Credit card information:

Name as it appears on credit card___________________________ Amount charged $____________

Card Number_____________________________________ Expiration date (month/year)__________

Signature____________________________________ Phone (required)________________________

Submitting your order:

IMPORTANT: Payment must accompany your order.

BY PHONE: We accept credit card telephone orders during regular business hours (10 a.m. to 8 p.m. PST). If we are not there to take your order, PLEASE LEAVE A MESSAGE so that we can call you back!

BY MAIL:  Send your order to Stacy Maeda, P.O. Box 291, Wilton, CA 95693

PLEASE NOTE:  All prices subject to change without notice. Should there be a discrepancy, we'll verify your order before shipping.