Ghostwriting Order Form

Client Address

First Name:	Last Name:
Street:
City:
State:	Zip:
Country:

Manuscript Information

Manuscript Title:
Your Penname (if applicable):
Number of Pages:
Number of Chapters:

Prices & Pages (Please Check One)

01 - 30 at $2.50 Each
31 - 60 at $2.30 Each
61+ at $2.00 Each

Payment Information

Payment Method: (Please check one)

Cash (not recommended)
Check or Money Order payable to Michelle Fitzpatrick
Paypal (Payment needs to be sent to the e-mail address: miclyn_services@yahoo.com)

If you chose the cash, check or money order options above, please mail via USPS along with a printed copy of this form to:

Michelle Fitzpatrick
P.O. Box 553
Nixa, MO 65714
USA

If you chose the paypal payment method above, please click on the "Submit Order" button below when finished.

Comments and/or Questions?

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