Twilit Grotto Esoteric Archives -- CD order form

Name:                ________________________________
Email Address*:      ________________________________
Address 1:           ________________________________
Address 2:           ________________________________
City:                ________________________________
State:               ____
Zip/Postal Code:     _________
Country:             ________________________________
Payment (USD):       27.00   without search engine
                     42.00   with search engine
Sales Tax (USD):            (6.5% Minnesota residents only)
Non-US and Canada add 1.00   for international shipping and handling
Total Payment (USD): ______


  * optional -- will be used for notification purposes only,
    and will NOT be resold

Please make check or money order payable to Joseph Peterson

Mail to:  Twilit Grotto
          PO Box 384
          Kasson, MN 55944-0384