Please print this order form, fill it out, and enclose it with your bank draft or money order, so that we can properly direct and acknowledge your contribution.

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Make out your bank draft or money order to:
Paulo and Alexandra Correa.
Send it to:
Akronos Publishing
42 Rockview Gardens
Concord, Ontario L4K 2J6, Canada

Amount of Contribution ____________________________   

Name of Contributor __________________________________________________

Street or PO Box: __________________________________________________________________

City: _____________________________________________________

State or Province: ____________________________ Zip or Postal Code:____________________

Country: _____________________________________________________

Telephone: Day ____________________________ Night _________________________

Email: _____________________________________________________

Additional Directives or Comments: