THE ANOINTED, THE ELECT, AND THE DAMNED! ORDER FORM

Name: ________________________________________________________________

Street Address: _________________________________________________________

City, _________________________State, ___________________ Zip: _____________

Phone: ______________________ Email:_____________________________________

_____ Check/Money Order _____ Credit Card

_____American Express _____ Master Card _____ Visa _____ Discover

Credit Card Number _____________________________________________

Expiration Date _______________________ CSC Number (on the back of the card) ______

How did you hear about us and the book?

Would you like to be on our email list? _____Yes _____No
Is there any additional information you’d like to provide? (Please use the back if necessary.)

Please print this form, complete the requested information, include along with your check or money order, and send to:
The Akurians
PO Box 3456
Albuquerque, NM 87190

You may fax this order if paying by Credit Card. The fax number is 505-265-8942

Shipping usually takes 2-4 days following receipt of Order..
If your order does not arrive please e-mail theakurians@theakurians.com or call : 505-796-4651 for your order status
Thank You for your Order!