******************** TransInFormation Order Via Mail Form ********************


Customer Name:___________________________________Email:   ______________________

SHIP TO
Address1:________________________________________
Address2:________________________________________Order #: ______________________
Address2:________________________________________

Phone Number: (      )_____-_________            Check #: ______________________


** Special Instruction: ********************************************************






********************************************************************************

ITEM ---------------------------------------------QUANTITY----PRICE(U$)----TOTAL



(1) FIRST COMMANDMENT REVISITED
The Human Imperative (Paper back)                 ________     $19.95       ____ 

(2) Shipping					  		FREE (within the US)




-----------------------------------Total amount-enclosed------$  _________________


Please send check or money order with this form to: 
TransInFormation
309 Foxwood Lane, Wylie, TX 75098
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