BBR PUBLISHING OFF-LINE ORDER FORM

Print off this form and mail it with your check or money order to the address below.

Make checks/money order payable to BBR Publishing. Please PRINT legibly.

First Name:____________________________________

Last Name: ____________________________________

Street Address: ______________________________________

City: _________________________________

State: _________________________________

Zip Code: _________________________________

Name of Product You Are Ordering: _________________________

Total Amount Enclosed: ___________________________________
(Please include $7.95 S/H for U.S. Orders or $14.95 for International Orders)

Phone number (will be used only if there is a problem with your order): _______________________________________________

Mail your check/money order to this address:

BBR PUBLISHING
Suite 23010
Dearborn, MI 48123