"Museum Sales" Charles R. Nelson Box 101 La Pointe, WI. 54850		"On Thin Ice" Order Form           Date_____________
Name:________________________________________________
Address:_____________________________________________
City:_________________	State:______	Zip:___________	Phone:_____________
Ship To: ( if different than above ) ( this address will recieve book )
Name:________________________________________________
Address:_____________________________________________
City:_________________	State:______	Zip:___________
"On Thin Ice"     $30.00 per copy
No. of copies:__________		Total for books:__________._____
5.5 percent sales tax:__________._____
Add $3.50 shipping and handling per copy:__________._____ ( Shipped "Book Rate" )
Total purchase:__________._____
Paid by check______	Money order______