Order Form

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" height=86 BGCOLOR="#CC9966" TEXT="#080000"> <div> <FONT SIZE="6" COLOR="#FFFFFF" FACE="Garamond" ><B>Glückstal Colonies Research Association</B></FONT><B> |     </B><A HREF="id51.htm" TARGET="_top" TITLE=" "><U><B>home</B></U></A></div> <div>                                                   </div> <div> </div> </td> </tr><tr> <td valign="top" height=394 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <I>Order Form</I></div> <bR> <div> <I><B>The Glückstalers in New Russia, the Soviet Union and North America</B></I></div> <div> <B>(released July 2008)</B></div> <div> 750+ pages, 1 DVD [searchable data disc] - included in slip-case in back cover of book</div> <bR> <bR> <bR> <div> <TABLE BORDER="2" CELLPADDING="2" CELLSPACING="1" WIDTH="600" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 35 WIDTH="360"><div> <B>ORDER FORM</B></div> <bR> </tD> <tD VALIGN=TOP WIDTH="51"><bR> <div> <B>Price</B></div> </tD> <tD VALIGN=TOP WIDTH="16"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="35" ALIGN="bottom" WIDTH="16" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="47"><div> <B> # of   </B><B>Copies</B></div> </tD> <tD VALIGN=TOP WIDTH="18"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="35" ALIGN="bottom" WIDTH="18" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="61"><bR> <div> <B>Total</B></div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 48 WIDTH="360"><div> PACKAGE: </div> <div> Book of  750+ pages and</div> <div> 1 DVD (searchable data disc)</div> </tD> <tD VALIGN=TOP WIDTH="51"><bR> <bR> <div> $65.00</div> </tD> <tD VALIGN=TOP WIDTH="16"><bR> <bR> <div> x</div> </tD> <tD VALIGN=TOP WIDTH="47"><bR> <bR> <div> _____</div> </tD> <tD VALIGN=TOP WIDTH="18"><bR> <bR> <div> =</div> </tD> <tD VALIGN=TOP><NOBR><bR> <bR> <div> _________</div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 32 WIDTH="360"><div> Shipping and handling - United States</div> <div> (by UPS - do not use PO Box)</div> </tD> <tD VALIGN=TOP><NOBR><div> $10.00</div> <div> per book</div> </NOBR></tD> <tD VALIGN=TOP WIDTH="16"><bR> <div> x</div> </tD> <tD VALIGN=TOP WIDTH="47"><bR> <div> _____</div> </tD> <tD VALIGN=TOP WIDTH="18"><bR> <div> =</div> </tD> <tD VALIGN=TOP><NOBR><bR> <div> _________</div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 32 WIDTH="360"><div> Shipping and handling - Canada and Europe</div> </tD> <tD VALIGN=TOP><NOBR><div> $25.00</div> <div> per book</div> </NOBR></tD> <tD VALIGN=TOP WIDTH="16"><bR> <div> x</div> </tD> <tD VALIGN=TOP WIDTH="47"><bR> <div> _____</div> </tD> <tD VALIGN=TOP WIDTH="18"><bR> <div> =</div> </tD> <tD VALIGN=TOP><NOBR><bR> <div> _________</div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 16 WIDTH="360"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="360" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="51"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="51" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="16"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="16" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="47"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="47" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="18"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="18" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="61"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="61" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 32 WIDTH="360"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="32" ALIGN="bottom" WIDTH="360" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="51"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="32" ALIGN="bottom" WIDTH="51" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="16"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="32" ALIGN="bottom" WIDTH="16" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="47"><div>  </div> <div> <B>TOTA</B>L</div> </tD> <tD VALIGN=TOP WIDTH="18"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="32" ALIGN="bottom" WIDTH="18" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP><NOBR><bR> <div> _________</div> </NOBR></tD> </tR> </TABLE></div> <bR> <bR> <bR> <div> <TABLE BORDER="2" CELLPADDING="2" CELLSPACING="1" WIDTH="599" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 16 WIDTH="408"><div> <B>MAILING INFORMATION</B></div> </tD> <tD VALIGN=TOP WIDTH="172"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="172" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 192 ><NOBR><bR> <div> Name     __________________________________________________________ </div> <bR> <div> Street Address  ______________________________________________________ </div> <div> (shipping by UPS)</div> <bR> <div> City State Zip     _____________________________________________________</div> <bR> <div> Telephone Number __________________________________________________</div> <bR> <div> Email Address ______________________________________________________</div> <bR> </NOBR></tD> <tD VALIGN=TOP><NOBR><div> <B>Make checks payable</B></div> <div> <B>to GCRA</B></div> <bR> <div> <B>Mail check & order form to:</B></div> <div> GCRA</div> <div> 611 Esplanade</div> <div> Redondo Beach, CA 90277</div> <bR> <div> Telephone: 310-540-1872</div> <div> Email: GCRA31@aol.com</div> </NOBR></tD> </tR> </TABLE></div> <div>  </div> <bR> </td> </tr></table></body>