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Order Form
NOW 40% OFF ON THE PURCHASE OF ANY BOOK Shipping and handling remain the same..

To order by e-mail, provide the information requested in this form, e-mail the information to the address below:

The Omega Syndrome
email at theomegasyndrome@yahoo.com

Paperback First Edition                                                              $10.95                    _________
Limited Quantity Hard Cover                                                      $22.95                    _________
Author Autographed                                                      Add $3.00 per copy              _________
Shipping and Handling                                                              Add $3.50                 _________
Sales Tax (If applicable) ;               $0.66 for paperback or $1.38 for Hard Cover    _________

                                                                         Order Total     _______

Ship to

Name ____________________________________________________________
Address _______________________________________Suite or Apt._______
City ___________________________ State _____ Zip Code ________ - _____
Telephone ( ____ )_______________ (Optional)

Enclose check or money order payable to The Omega Syndrome  Please allow 4 to 6 weeks
delivery of mail-in orders.  Texas residents add 8.25% sales tax to book prices only.

For credit card orders please include the folowing Credit Card  information

Circle one:    Mastercard / VISA

Card Number  __ __ __ __ / __ __ __ __ / __ __ __ __ / __ __ __ __      Exp. __ /__ / __
Name on the card
if different    ________________________________________ 

Signature  _____________________________________________________