Order Form

Name
Company
Address
City
State
Zip Code
Phone Number
Credit Card Number
Expiration date
3-Digit Security Code	(This 3 digit number is printed on the back of your Credit Card. It might be preceded by the final 4 digits of your Credit Card number.)

ORDER FORM

You may use this for for MAIL orders. Simply fill it out, print it, then MAIL it to us.

You may also order with a credit card by calling (toll free) 877-547-5073

	In the Description column below, please give the title for a book. For John Bower's photographs please give the title and the number shown under the image. For Lynn Bower's artwork, please give the title.

Quantity	Description	Amount






7% Sales Tax (Indiana residents only)
Shipping is $3.00 per book, but FREE SHIPPING when you order 3 or more books.
	TOTAL

	Mail this form (with check or money order if not using credit or debit card) to: Studio Indiana, 430 N. Sewell Rd., Bloomington, IN 47408 Or Fax it to 812-332-5073