Order Print-Out Form:

Please contact: Elaine Clark or Sherry Kline for pricing, and shipping information.

Name _____________________________________________________________

Address 1 ___________________________________________________________

Address 2____________________________________________________________

City _________________________State __________Zip _____________________

Phone _______________________ E-mail ______________________________________

________ Copies of Mayfield: Then & Now at $59.95     =    ________________________

________ Books times $3.54 Tax for each                       =    ________________________

________ Books - Shipping (see note below)                   =    ________________________

                                                                       Total      ________________

(Shipping: 1 Book = $5.00; 2 Books = $8.00; 3 Books = $10.00; $2.00 for each additional book.
$5.00 per book if shipped to different addresses)

Please direct correspondence to:

Mayfield Then and Now
Elaine Clark
217 N. Oliver Rd.
Wellington, KS 67152

E-mail: clark1963@earthlink.net

OR

Sherry Kline
410 N. Park
Wellington, KS 67152