Guillian-Barre' Syndrome - My Worst Nightmare
Your Subtitle text
Order Form

You may either print the top portion of this form and send it along with your check or money order to the address below, or you may use the PayPal options at the bottom of the page

(If you do not have access to a printer, please email us with your order request.)

ORDER DATE:   ______________________

NAME:  _____________________________

ADDRESS:   _________________________

              _____________________________

CITY:    _____________________________

STATE/PROVINCE:  ___________________

ZIP CODE: __________________________

COUNTRY:  _________________________

 This invoice is for            copies of your softback book @ $13.99 each, and/or

                            for ____ copies of your hardback book @ $24.99 each.

           Guillain-Barre' Syndrome - My Worst Nightmare

                                                           Book Price:      $________

                  First Book Shipping Charge: $3.95        ________      
                 (Multiple books, add $2.00 for each additional copy.)  
      
                                  Total Due    $_______

 Please make checks or money orders payable to:          (Please DO NOT send cash!)

                                                    Byron Comp

                                    Send to: Byron Comp
                                                    23400 NW 212th Ave.
                                                    High Springs, FL  32643-8755 
                                                    byron@gbsnightmare.com

You may also make your purchases using the following options:

    To purchase softback copies:         

 
     To purchase hardback copies:          
 
  To view cart and checkout:         
 
     Thank you for your business.