JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
'Brentwood' Order Form
$15 shipped
$12 for local pickup.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name
*
Your answer
Are you local?
*
Yes, and I'm interested in local pick-up.
Yes, but I'd still prefer to recieve my copy in the mail.
No, I'm not local.
If ordering 'Brentwood' for delivery by mail only, please enter a mailing address here.
Your answer
If ordering for local pickup, please select any of these public locations that would work for you.
Vancouver Public Library
Birdhouse Books
Ghost Town Open Mic
Other:
Would you like your copy signed or dedicated?
*
Your answer
To purchase, send $15 (mail) or $12 (local pickup) to
paypal.com/paypalme/crownofsage
.
*
I've paid!
I have a question or a problem with payment.
Thank you for placing an order! <3
Questions or Comments or Compliments:
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
