Straight Wire - The Concept and Appliance

BOOK ORDER FORM


__________________________________
DATE

______________________________________________________________________________
NAME (please print)

______________________________________________________________________________
ADDRESS                                                           CITY                             STATE

______________________________________________________________________________
ZIP (POSTAL) CODE            COUNTRY                     E-MAIL ADDRESS

______________________________________________________________________________
TELEPHONE NUMBER                                             FAX NUMBER

VISA __ MASTERCARD __     ____________________________________________________
                                               ACCOUNT NUMBER                               EXPIRATION DATE

_________________________________
SIGNATURE

The price of the book is $125.00 plus $10 shipping and handling (US). California residents please add 7.75% sales tax. Call or Fax for cost of international shipping.

Please MAIL or FAX your payment to:
The Lawrence F. Andrews Foundation
2025 Chatsworth Blvd.
San Diego, CA 92107
Tele. (800) 799-8952 (US only),
(619) 224-0866 - Fax (619) 224-6979