Printable Order Form

Please send _______ copies of John Haislip, Seal Rock,

@ 9.95$each, plus $2.00 shipping and handling for the first copy, $1.00 for each copy thereafter,

to:

Name:____________________________

Address:_________________________

_________________________________

_________________________________

I have enclosed payment (check payable to: Barnwood)

Send order form plus payment to Barnwood, 4604 47th Ave S, Seattle WA 98118.

[Barnwood is a not-for-profit, educational and literary organization, with the purpose of supporting the contemporary art of poetry.]

Barnwood Home Page

Thank you.