The Tales from the Zirzameen - Book Order Form

Name:_____________________________________________________________________________

Address:___________________________________________________________________________

City:________________________________________State______Zip:________________________

Phone:___________________ Email____________________________

Number of Tales of the Zirzameen at:$39.66 each________

Number of Shamshone, Sun of Assyria in hardcopy at $36.37 each________
Number of Shamshone, Sun of Assyria in paperback at $25.41 each_________

Total Amount:_________

Please print form, fill out information, make check payable to Brian H. Appleton, and mail to:

Brian Appleton

5669 Snell Avenue

PO Box 126

San Jose, CA 95123-3328