Print Out Order Form
To Order "Hell from Heaven"
by Leonard Streitfeld

Billing Address:

Name________________________________________

Address______________________________________

(Address)_____________________________________

City____________________________State__________

Zip_______________

Country_____________

Shipping Address if different:

Name________________________________________

Address______________________________________

(Address)_____________________________________

City____________________________State__________

Zip_______________

Country_____________

Phone Number Daytime____________________________

Phone Number Evening____________________________

Number of Books _____ x $19.95_______$_________

Number of Videos _____ x $24.95_______$_________

Book and Video   _____x $44.90_______$_________

Plus shipping (see below) _______________$_________

(NJ Residents
Add 6% Sales Tax)____________________$__________

Total _______________________________$__________

Check Amount Enclosed _________________________________

Money Order Amount Enclosed____________________________

For more detailed information
or to place an order by phone,

Call
609 561 2268
8am to 8pm
Eastern Time

1 Copy
"Hell From Heaven" $19.95

Plus $5.00 Shipping and Handling
for Priority Mail

1 Copy Video Tape from the Actual Missions

$24.95

Plus $5.00 Shipping and Handling
for Priority Mail

1 Copy"Hell From Heaven"

$19.95
Plus $10.00 US for Shipping and Handling

1 Copy Video Tape of
Actual Missions

$24.95
Plus $10.00 US for Shipping and Handling

Book and Video Set

1 Copy Video Tape
from the Actual Missions
And
1 Copy
"Hell From Heaven"

$44.90 US

Plus $11.00 for Shipping and Handling