Print this form - then write in your order details. "You Are A Miracle" Book $10.00 X _____ = ____________ Total                     ____________ You will receive One Free Book for every book you order. Name _______________________________________________ Address _______________________________________________ City _______________________________________________ Prov/State _______________________________________________ Country _______________________________________________ Postal/Zip Code _______________________________________________ Email Address _______________________________________________ Please note: Orders from Canada and the USA may be paid by Personal Check or Money Order. Orders from outside of Canada or the USA must be paid by International Money Order. Make check or Money Order payable to: Terri McPherson Enclose payment and mail to: Terri McPherson Buckley 115 Brush Crescent Amherstburg, Ontario CA N9V 3Y5 Return to "You Are A Miracle" Book