-----------   Order form - please make a check payable to Reiko Hervin   ------------
Clip this portion with a check, please send to :  Reiko Hervin 11 Norton Lane, Wellington, NV 89444

Name: _________________________________Phone:                                
             please print

Address:                                                                                                        

E-mail address:                                                                                             

Splash 9: Special offer: $23.50 a book. I’d like to order                    book(s).

If you want your book mailed to you, please enclose $3.50 for postage for each book.

I’m including my check (or money order) total of $                       .
*Please allow 1-2 weeks for delivery.  You will be contacted by e-mail when your book is available to pick up at the East Fork Gallery. Thank you very much for your order!