To order by check or money order, print and send this order form to:

Libbi Chilia
P.O. Box 30566
Middleburg Hts., Ohio 44130

Quantity: Imagine...Amazing Me! $12.95______
Shipping $3.50 for first book _______
$2.00 for each add‛l book ______ (max shipping cost up to 50 books = $10.00)
Add County Tax (Ohio residents only) ______
TOTAL AMOUNT ENCLOSED _______                     Please autograph to:_______________________________

Name: _________________________________________________

Address: ______________________________________________________________________
               street address                                            City             State               Zip

Phone# or Email address: ______________________________________


Please make checks and money orders payable to: Libbi Chilia

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For office use only:    date received ______________    Date order filled ___________________



Thank you for your order!