Order Form
(Printable)

A subscription to the 2008 Services Directory
May be ordered by sending 25.00 plus $3.50 for shipping and handling.
Simply fill in the information and send to:

Jerry Howard.com
PO Box 279
Dexter, MO 63841

Please print
Name:________________________________________________________________

Mailing Address:________________________________________________________

City: _________________________________ State: ____ Zip Code: _____________

Phone Number: (optional) ______________________________________________

email: (optional) _____________________________________________________

Number of copies requested: ____X $28.50 includes S & H = ___________

Total amount enclosed $_____________

Signature: __________________________________

Signature verifies purchase order and purchaser as agent for:

Name: ________________________________________

Address: ______________________________________

City, State, Zip: _________________________________

For more information you may visit our website at www.jerryhoward.com or call
573-624-2246 or fax to 573-624-2887.

Please allow two weeks for delivery