ARSENIC LOBSTER ANTHOLOGY Order Form


The Arsenic Lobster Anthology is available by mail. The current issue is priced at $7.00 a copy.
All orders include shipping (both domestic and international) and handling.
Please send this form along with your check MADE OUT TO Susan Yount to: 

		Susan Yount
		1830 W 18th St
		Chicago IL 60608

_______________________________________________________________

Dear Susan,

Please send me ______ copies of the Arsenic Lobster 2011 Anthology at a cost of $7.00 per copy.

Previous issues are available at $5.00 (while supplies last).  
Please send me______ copies of the 2006 Arsenic Lobster Anthology.
Please send me______ copies of the 2007 Arsenic Lobster Anthology.
Please send me______ copies of the 2008 Arsenic Lobster Anthology.
Please send me______ copies of the 2009 Arsenic Lobster Anthology.
Please send me______ copies of the 2010 Arsenic Lobster Anthology.


My check made out to Susan Yount is enclosed in the amount of  $_____________.

If you order $50.00 or more in a single order, made up of any mix of current and/or previous issues, you will be listed in the next Anthology as a benefactor.


Name			________________________________________

Address			________________________________________

Address Line 2		________________________________________

City, State, Zip	________________________________________

Email Address		________________________________________

Phone Number		_________________________