ARSENIC LOBSTER 2009 ANTHOLOGY Order Form


The Arsenic Lobster 2009 Anthology is available by mail. This issue is priced at $10.00 a copy.
International orders have an added postage charge. Contact lobster@magere.com for details.

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 2009 Anthology at a cost of 
$10.00 per copy.

As a special offer, anyone ordering the 2009 Anthology may order copies of the 
previous Anthologies at $2.00 a copy (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.

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 2010 Anthology as a benefactor.



Name			________________________________________

Address			________________________________________

Address Line 2		________________________________________

City, State, Zip	________________________________________

Email Address		________________________________________

Phone Number		_________________________



_____________   I would like my name listed as a benefactor in your next publication. 
		My donation of $50.00 is enclosed.