Name: ____________________________
Address:____________________________
City, State and zip code ____________________ _____ _______
Book Title: _________________________
Number of books: ______
Amount enclosed (USD): $______________
Shipping address: ____________________________
____________________________
____________________________
Name of person to whom should book be autographed:
_______________________________
(please print)
Send order form and payment to:
Bernard Alexander McNealy
17337 Ventura Blvd., Ste. 104
Encino, CA 91316
Your order will filled within 2 days of receipt. Allow 3 addtional days for receipt, although we cannot guarantee the
celerity of the postal service.
You may also send this form by email, however no order will be shipped until payment is received.