MANY VOICES:
Book Order Form
 To order, print out this form, fill out the requested information,
enclose payment and mail to:

MANY VOICES
P.O. Box 2639
Cincinnati, Ohio 45201-2639 USA
PHONE: (513)751-8020
FAX: (513)751-8060

Credit Cards
NOW
Accepted

discover card

Name _____________________________________________

Address ________________________________________________________________

City/State/ZIP ___________________________________________________________

Phone # ______________________(Optional)

YES! I would like to order the following books from MANY VOICES!

I Am More Than One(free shipping) _____# of books @ $15.00 = $_____________
Like Lazarus ____# of books @ $10.00 = $_____________
Mending Ourselves _____# of books @ $12.95 =
$_____________
Poems To Our Therapist _____# of books @ $10.00 =
$_____________
Ohio residents add 6% sales tax
   $_____________
Shipping for United States:
 _____# of books @ $3.00  
Shipping for Canada:
 _____# of books @ $5.00  
Shipping for Elsewhere:
 _____# of books @ $10.00 $_____________
Enclosed TOTAL   $_____________

Send with check or money order in US CURRENCY ONLY made out to MANY VOICES PRESS, PO Box 2639, Cincinnati, OH 45201-2639. If you use VISA, MASTERCARD, AMERICAN EXPRESS or Discover, please fill out and sign the form.

Please allow 4-6 weeks for delivery. Most orders will ship winthin one week, but unavoidable delays can happen.
Call (513) 751-8020 if you have any questions about your order.

 Method of Payment (check one)

Check Money Order Visa MasterCard American Express Discover

Cardholder Name: ________________________________________
Card Number: __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __
Card Expiration Date: __ / __ Total:$ ______________
Signature: ________________________________________ Today's Date: ______________

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