Name _________________________ Date _______________

Address __________________________________________
(no p.o. box, please)

City ___________________________________State_________________

Zip Code_______________________

A cashier's check or money order made payable to Tom Eidemiller in the amount of $_____________ is enclosed
(no personal checks please).

Please send: ______ Ralph Steele Print(s) $5.00 (includes shipping and handling)

Please send: ______ book(s)

[_____] Not autographed $15.00 each plus $5.00 s/h (up to 3 books)

[_____] Autographed $20.00 each plus $5.00 s/h (up to 3 books)

Print name(s) for autograph(s) below:

______________________________ _______________________________

______________________________ ________________________________

______________________________ ________________________________

Allow 2-4 weeks for delivery.
Please contact Tom Eidemiller for International S/H pricing

Send order and check made payable to:

Tom Eidemiller
c/o Printing Image
6709 Kingston Pike
Knoxville, TN 37919

All proceeds go to Mel Kenyon