QTY

ORDER FORM

CHEVALIER PUBLICATIONS

P.O. Box 194 / Tulare / California 93275

Enclosed find cash, check or money-order for the

following items:

(please print)

Name

Address

City, State, Zip

ITEM

Add 15% to cover mailing & handling. Calif. residents add 6% sales tax

TOTAL

-93~

PRICE