ORDER FORM

                                         I would like to order:

ItemQuantity  
 
From Harlem to Maui - collection of Poems- Book____________   X $15.00 = ______________
    
Donations in support of Leah's utube site of videos
http://www.youtube.com/LeahTVdotcom		Any amount will be
Gracefully accepted		 Enter Amount here ________
    
Sub-Total = ______________
US = $4.20  
Canada = $4.70  
International = $5.70  
Shipping = ______________
Total amount enclosed = ______________

                                                 Please ship order to:

Name:__________________________________
Street:__________________________________
City:__________________________________
State:__________________________________
Zip:__________________________________
Country:__________________________________

                                                                           Please include a check or money order (in US funds) and mail to:

Pay to the order :of Leah Tunkara
PO BOX 888
Makawao. Hi. 96768