Peru journal order form

Print and complete two copies of this form, retain one for your records
Mail one copy to Lew Lehrman 9123 North 115th Place, Scottsdale, AZ 85259		TOLL FREE:1-877-471-8718 eMail LBLehrman@cox.net
Your name________________________________________ Date___________ eMail address______________________________________________________ Ship to address____________________________________________________ City__________________________ State____________Zip code___________ Telephone (daytime)_________________(Nighttime)______________________
Peru Journal
Page	Page title	Quantity
1	Title page and map
2	In-flight musings
3	Welcome to Lima
4	Vendor at the Cathedral, Lima
5	Pachacamac
6	Archaeological dig
7	A fine dinner in Lima
8	A dusty street in Ccorao
9	Sacred Valley of the Inca
10	Hillside above Pisac
11	Salt mines at Maras-Pichingoto
12/13	Machu Picchu
14	Healing ceremony
15	Faces of Peru

Total number of pages ____@ $6.00 each Total:			$
	Complete Journal -- 12 or more pages, with signed title page, in a sturdy 3-ring binder	$ 69.00
	Mailing (per order, regardless of size)		$5.00
	Total enclosed:
Because I print to your order, please allow three weeks for delivery.
Paid by [ ] Money Order [ ] Bank Check [ ] Personal Check
To order using a major credit card, or via eCheck, please eMail me at lblehrman@cox.net with page numbers and mailing address. I will send you a PayPal invoice, which you may pay easily, quickly & safely even if you have never done so before.

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