Orderform

NAME: _______________________________________________________________________________

ADDRESS: ____________________________________________________________________________

_____________________________________________________________________________________

______________________________________________________________________________________

PHONE: __________________________________

EMAIL: _________________________________________________________________

PAYMENT:

___Check enclosed payable for $99 to Wyatt-MacKenzie Publishing.

___ MC / Visa __________________ | __________________ | __________________ | __________________

EXPIRATION: _____________________________

Follow the directions for sending your text and artwork on:



		Wyatt-MacKenzie Publishing • 15115 Highway 36 • Deadwood, Oregon 97430 • 541-964-3314 • FAX 541-964-3315 Complete this orderform and mail or fax, thanks!= NAME: _______________________________________________________________________________ ADDRESS: ____________________________________________________________________________ _____________________________________________________________________________________ ______________________________________________________________________________________ PHONE: __________________________________ EMAIL: _________________________________________________________________ PAYMENT: ___Check enclosed payable for $99 to Wyatt-MacKenzie Publishing. ___ MC / Visa __________________ \| __________________ \| __________________ \| __________________ EXPIRATION: _____________________________ Follow the directions for sending your text and artwork on: www.MomsBusinessMagazine.com/theBOMB/directions.html