Prices and Options

	Public Sales	Price
A	Hardcover Book	$40
B	E-Book on a Compact Disk	$10

Prices include shipping and California Sales Tax

Options	Donor Sales	Donation per Set
1	Platinum Set (9 copies)	$5,000
2	Gold Set (6 copies)	$1,000
3	Silver Set (3 copies)	$500

Please print out and fill out this Order Form
and send
Cash, Check or Money Order
payment to:

CHSSC
415 Bernard Street
Los Angeles, California 90012-1703

Telephone: 323-222-0856

To pay by Visa/MC please fax this order form to
323-221-4162

Website: www.chssc.org
E-mail: chssc@earthlink.net

Order Form

Item	Quantity	Unit Price	Total
A	.	.$40	.
B	.	.$10	.
1	((9)	$5,000
2	(6)	$1,000
3	(3)	$500
Total Payment
Check or Money Order

Ordered by:

Name
Address
City, State and Zip
Credit Card Number
Exp. Date
Phone

Ship to: (Credit card holder's shipping address must be the same as billing address.)

Name
Address
Address
Zip

Use a separate sheet for other shipping addresses.
Orders shipped by UPS or US Mail