ORDER FORM
Number of Copies
| _____________ | GONE FROM MY SIGHT The Dying Experience (Available in Spanish) |
| _____________ | MY FRIEND, I CARE The Grief Experience (Available in Spanish) |
| _____________ | A TIME TO LIVE Living with a Life-Threatening Illness (Available in Spanish) |
| Price | $2.00 |
| Postage | $1.00 |
| TOTAL | $3.00 each |
Postage will be adjustged for larger orders.
Name__________________________________________________
Address________________________________________________
City, State________________________________ Zip___________
Mail to:
BARBARA KARNES
P.O. BOX 335
Stillwell, KS 66085