BOOK ORDER FORM Name___________________________________ Address________________________________________City____________________________________ State______________ Zip Code______________ Email_________________________________________Fax_____________________________________ Phone___________________________________ PAYMENT METHOD Check is enclosed______ Please charge my credit card_______ Visa_____ Master Card_____ Discover_____ American Express_____ Card Number_______________________________ Exp. Date__________________________________ Name on Card______________________________ Signature__________________________________ I would like to order _______ copy(copies) of Climbing the Pyramid…The How-To’s of Leadership. Total order = $12.95 for each book + $2.00 S/H per book. $_________________ I would like to order _______ copy(copies) of Be a Last-Minute Leader, Not a Procrastinator. Total order = $11.95 for each book + $2.00 S/H per book. $_________________ I would like to order _______ copy(copies) of The Distant Voices, Listening to the Leadership Lessons of the Past - Napoleon Bonaparte Total order = $27.95 for each book + $2.00 S/H per book. $_________________ I would like to order _______ copy(copies) of The Distant Voices, Listening to the Leadership Lessons of the Past - Niccolo Machiavelli Total order = $18.95 for each book + $2.00 S/H per book. $_________________ I would like to order _______ copy(copies) of The Distant Voices, Listening to the Leadership Lessons of the Past - Marquis de Lafayette Total order = $17.95 for each book + $2.00 S/H per book. $_________________ Total = $_____________________ To order books please print the form and fax it to 606-539-4136. Or you may mail the form to: Dr. Michael B. Colegrove Hutton Center for Leadership Studies University of the Cumberlands 7197 College Station Drive Williamsburg, KY 40769