MarketPlace Order Form

First, print this form.
Fill out this form completely.
Please make your check or money order payable to (U.S. currency only):
WEST COVINA BUDDHIST TEMPLE
Finally, mail this form and your check to:
The Living Dharma Bookstore
c/o West Covina Buddhist Temple
P. O. Box 1616
West Covina, CA 91793

Thanks for your order!
Quantity Title Description Unit Price Total

Grand Total:

(Please make check payable to: West Covina Buddhist Temple)

Ship merchandise to:
Name:

Address:

City, State, Zip:

Phone:

e-mail:

Quantity	Title	Description	Unit Price	Total





			Grand Total:
(Please make check payable to: West Covina Buddhist Temple)