ORDER FORM FOR PHILIP GOULD BOOKS

Complete this form and mail 
with check or money order to:

Book Orders
Philip Gould
PO Box 4608
Lafayette, LA 70502

TITLE                QTY             TOTAL

Natchitoches/Cane      ____ x 40.00      ________
Louisiana Faces        ____ x 39.95      ________
Houses of Hays Town    ____ x 39.95      ________
Louisiana's Capitols   ____ x 12.00      ________
Cajun Music & Zydeco   ____ x 39.95      ________


Add shipping, $5.00 for first book,
$2.50 for each additional		_________

TOTAL ENCLOSED				_________


SEND BOOKS TO (U.S. Addresses only):
Name: __________________________________
Address:_______________________________
_______________________________________
City: _____________________ State: ________ Zip: _________


Telephone: (___) ___________________

Email: _______________@_____________________