Name________________________________________________________

Address ______________________________________________________

City, State, Zip ________________________________________________

Telephone_______________________

New reduced price as of August 2010 = $25.00

No. of books ________ x $______________ = $ _______________

If books are to be shipped in the United States, include $5.00 per book.

Shipping costs $ _____________ + total cost of books = Grand Total $ _________

Make checks payable to:
David Kusel (Quasqui book)

Return this order form along with check to:
History Book
c/o David Kusel
11723 300St
Manning, IA 51455-8687