Please send  ___ book(s) to:

________________________________________________________________________________________________
           Name      Address
________________________________________________________________________________________________
         City, State, Zip Code                                                         Phone Number

___ Check enclosed in the amount of   $_____________ made payable to CCHS

___ Charge my ___Master Card    ___ VISA  ___ Discover

________________________________________________________________________________________________
   Credit Card Number                        Expiration Date                                                       3 digit code on back of card

*Members 10% Discount = $19.80              $22.00 per book
  PA Sales Tax        1.19                1.32 PA Sales Tax
  Shipping/Handling       4.00                4.00 Shipping/Handling
  Total per book   $ 24.99             $27.32 Total per book
 
Note:  There is no PA Sales Tax if shipped out of state.

A copy of the official registration and financial information may be obtained from the Pennsylvania Department of State by calling toll free, within PA, 1-800-732-0999.  Registration does not imply endorsement.