Due to an overwhelming response, Illustrator- Joni Purk, in cooperation with Author- Diana Davis;

is offering online order form for your convenience.

Send all orders for illustrator signed or unsigned copies to: Joni Purk, 2836 Olympus Drive, Charlotte, NC 28214

Ordered By/ Shipped To: Please Print (Illustrator can also offer info for Author signed copies)

Ordered By Name: _____________________________________________________________________

Address: _____________________________________________________________________________

City/State/Zip: ________________________________________________________________________

Phone: ( ) ________________ Email: To Alert You of Shipping Status_________________________

Sign Copy To: ___________________________ Ship Book To: ___________________________

Address: _____ same as above (if purchasing as a gift, receipt will be mailed to customer’s address)

Address: _____ gift__________________________________________________________________

Method of Payment _____Check _____ Money Order

Checks Made Payable To: Joni Purk (a registered business with the state of North Carolina)

QTY	BooK	Price (each)	Total
	Little Ebony –The Dragon Slayer / Young Reader	19.99
	S& H (U.S. Only ) - International Shipping Charges - Vary		5.00
Contact Artist for International S&H		Subtotal
		NC Res. 8% Tax
		Total: