If you want to order by check or money order payment - Please print this form and mail it to:


UnConventional Books
P.O. Box 1
Telford, PA 18969
215-680-2020



Within the US through October 3 $75 per book  + $6 media mail shipping and handling ($81)




Orders from outside the U.S. please contact Crystal for current international check/money order policy.

Your name: _______________________

Billing Address: ___________________________________________

                              ___________________________________________

Phone Number (Optional): _____________________

How did you hear about III?

          radio/television (Name of Show and Station/City) ________________________________

          another Internet Site ___________________________________

          a friend (please give us their name, so we can send them a thank you note) _____________________

          a networking event/singles event ___________________

          news group/chat room/email sent to me from sexualtriads@aol.com ______________________

          other: _________________________________

Ship to Address (if different from Billing Address):

                    __________________________________________

                    __________________________________________

Email address (if different from above) if you would like to receive special notices about the

          book: _____________________

Would you like Crystal to call you or a friend for a 5 minute phone conversation? Please give several times and day preferences Mon-Fri between 9PM and 11PM EST, and

Saturday, Sunday 10AM - 11PM (state best days and times). __________________________

          Phone # where Crystal can call you: __________________________

          Person she should ask for: __________________________

          Which day and time: _______________________________

          Can she leave a voice mail message if you're not home: Yes / No

How would you like Crystal to Autograph this copy?

_______________________________________________________________

What would you like to have printed in our Supporter's Page? (up to 12 words)

___________________________________________________________

___________________________________________________________



For Comments and Suggestions feel free to use the other side of the form.