Online Order Form

Mail to:

First name            
Last name            
Street address      
Address (cont)      
City                     
State/Province      
Zip/Postal code     
Country                
Home Phone        
Work Phone         
E-mail                  

How many books are you ordering?

Pioneer Pilot @ $ 19.95 each       
S&H @ $3.50 each                   
California residents add tax       
County            
Total                              

Would you like it autographed? 

To whom:
   

40% discount for wholesale
orders, 10 book minimum

Make checks payable to: 
Ralph S. Cooper, D.V.M.
1050 S. San Gabriel Blvd.,
Pasadena, CA 91107