Name: (Please print)   ________________________________________________
Address:   ____________________________________________________________
	   _________________________________  ___________  ____________
Phone: ______________________ E-mail: _________________________________

Item ordered: Lanesboro Minnesota - Historic Destination
Price per copy: $19.99

Number of copies ordered:
  1    2    3    4    5    6    7   (other)_______

Subtotal: __________

6.5% sales tax (Minnesota residents only): ________

Please add shipping and handling 
 1 copy $4.00 
 2-3 copies: $7.00 
 4-6 copies: $12.00 
 7-12 copies: $16.00
 13 + copies: $20.00 

Total: ____________

Please make checks to:      Ted St. Mane
		            819 15th Ave NE
		            Rochester, MN  55906