HomeAbout UsBook OrdersThe Blue Rose PlayTraveling Photo GalleryLesson PlanContact UsLinks

Book Order Form     The Blue Rose by Gerda Weissmann Klein, 2008 edition


ALL lines must be filled in so that your order can be sent.
   
First Name _______________________________________________________________________  

Last Name _______________________________________________________________________________ 

Address      _______________________________________________________________________________ 

City            _________________________________________________________________

State        ___________________
 
Zip Code       __________________________

(Orders are only accepted from and only sent within continental U.S.)
   
Email address ______________________________________________________________ 

Phone number ______________________________________________________________________________ 

Put an "X" after the number of copies you are ordering.

1 copy       ________             Cost is $15.00

2 copies    ________             Cost is  $30.00

3 copies    ________             Cost is $45.00

4 copies    ________             Cost is $60.00

If ordering more than 4 copies, fill in the number and the correct total by multiplying the number of books by $15.00.

Number of copies_________    Total Cost  $___________    

 

CHECK OR MONEY ORDER: PAYABLE TO THE BLUE ROSE FOUNDATION
Only checks with printed name and address will be accepted.


AMOUNT ENCLOSED:  $____.___

Send this form and check or money order to:
THE BLUE ROSE FOUNDATION
P.O. BOX 54
Williamsville, NY  14231


Orders are filled when check/money order has been cleared and deposited.
THANK YOU FOR YOUR ORDER AND SUPPORT!



Enter supporting content here