Press

USE THE TAB KEY OR YOUR MOUSE TO NAVIGATE THIS FORM.

IF YOU HIT YOUR "ENTER" KEY, AN INCOMPLETE FORM WILL

BE SUBMITTED AND YOU'LL SEE A "THANK YOU" PAGE. IF THIS

HAPPENS USE YOUR BROWSER "BACK" BUTTON TO RETURN

TO THIS PAGE AND START OVER.

Your name:

Address:

City, State, Zip

MOST OF THIS BUSINESS IS CONDUCTED ON LINE. YOUR EMAIL

ADDRESS IF VERY IMPORTANT.

Your email address:

The service you are buying?

Editing service at 90 cents a page $

Manuscript evaluation/critique $

TOTAL $

BILLING

Credit Card

Cardholder Name

Card Number

Expiration Date

AMOUNT

ATTACH REQUIRED .doc FILE TO THIS

If you'd rather pay through

submit this form to us (use button below) without supplying your billing

information. We'll send you an email with a private link to a Web page

containing a "Buy Now" button programmed for the amount you owe.

Just click it and follow the prompts.

To pay by check, print this form and mail it with a check to this address:

TWB Press - 1510 Kendall St. Lakewood, CO 80214

Please add any comments you may have below:

Tales from Mistwillow