Jane Austen Society of North America, Southwest (JASNA-SW)

Please make out your check for $12.00 US (includes shipping) per booklet to "JASNA Southwest."

YOUR INFORMATION:

Name:

________________________________________________

Address:

________________________________________________

City/State/Zip:

________________________________________________

Phone:

________________________________________________


Quantity:

_______@ $12 = ___________


MAIL YOUR COMPLETED FORM AND CHECK TO:

Diana Birchall
225 Montana Avenue.
Santa Monica, CA 90403

Please contact Diana at (310) 394-2196 or Birchalls@aol.com. if you have any questions.