To Order The Prophecy:

	1). Fill in the quantity.
	2). If you are not a Connecticut resident uncheck the box.
	3). Click CALCULATE
	4). Fill in Customer Information and click SUBMIT

Description		Price		Qty.		Total
The Prophecy		$12.00	x		=	$0.00
Are you a CT Resident?
CT Resident add 6% tax:						$0.00
US Shipping and Handling:						$4.00
Add $2.00 per additional book shipped:						$0.00
				Total: $		$0.00

Customer Info:

Ship To Address If different

Name:
Address:
P.O. Box:
City:
State:
Zip Code:

Credit Card Info:

Credit Card Type: Visa Master Card Discover American Express Number:*Exp.Date*

You will receive an email confirmation that your order has been received.

You may also print this form and send with a check made payable to: William Ayles

Send to:	TIMELINE INTERNATIONAL P.O. Box 914
	South Windsor, CT 06074

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