Book Order Form

Please send me ( my friend ) personally autographed copy(s)
of Roslyn's Poems: -

Thoughts of an Aussie Woman

To order direct, indicate the number you want and fill out the form below.

Name:

Phone:      Fax:

Address

Cost: $23.00(AUD) per book (postage and handling included)

Enclosed is a Cheque or Money Order for

Please make cheques or money orders payable to R.Evans.

Address and mail to

R. Evans

18 Susan Street

Albion

VIC 3020

Allow 14 Days for Delivery