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: