Item                                No.                        Cost                    Total

Ramblin' On            _______       X          $15.           _________
The Hourglass         _______       X          $15.           _________

BOOKS    
Item                              No.                         Cost                    Total
Children's Books
     Mr. Michief        _______       X          $4.95         _________
     Easter Bunny    _______       X          $4.95         _________
Poetry Books
     Mistress Moon  _______       X          $3.95         _________
     Star Gazers       _______       X          $3.95         _________
 

MERCHANDISE
Item                              No.                         Cost                    Total
T-Shirts                  _______        X          $15.           _________
Baseball Caps       _______         X          $15.           _________
Roc-o-chocalot     _______        X           $ 2.            _________
Teddy Bears          _______        X           $12.           _________

                                                         GRAND   TOTAL _________

Ship to: NAME________________________________________
             ADDRESS_____________________________________
             CITY______________________STATE___ZIP_________
CONTACT INFO: PHONE__________________________________
                        Email___________________________________

Shipping & handling included in price.
Checks & Money Orders should be made out to Robb Taylor
Print out this form & send with your check or money order to:

The Robert Taylor Foundation for Children
P.O. Box 1154
Blakeslee, Pa. 18610