Subtotal

6% Sales Tax (MI Residents Only)

Shipping & Handling

(Add $4.00 for 1st copy; $1.00 each additional copy)

TOTAL ENCLOSED

(Check or Money Order Only)

$ _________

$ _________

$ _________

$ __________

PLEASE SHIP TO:

NAME: ________________________________________________________________________

ADDRESS: _____________________________________________________________________

CITY: __________________________________   STATE: ____________ ZIP CODE _________

Make check payable to Lotus Press and mail to address below:

Lotus Press, Inc

PO Box 21607

Detroit, MI 48221