Order Form
Date:  ____________________

Name: __________________________________________

Street: __________________________________________

City  ___________________________ State _____  Zip Code ___________

Who you want the book signed for:   To --- ________________________

Quantity                Item                   Price each        Subtotal

                     FIRING SQUAD        $13.99                              
                     
                   Shipping (1 book)        $3.00                                   
Add .50 for each additional book                                      
                     
                     
            
 TOTAL                                                                       

Mail to: Rick Roberts - 1409 Magee Ave. - Philadelphia, PA 19111