Please download this page and print it.

To: POWER BOOKS, 54 Balham Park Road, London   SW12  8DU, United Kingdom.

Please rush me one copy of ESCAPE THE GAY STRAITJACKET by Donald Black.

I enclose my cheque/postal order of £_____________ crossed and made payable to POWER BOOKS

I have sent GBP £_____________ by PayPal to sw128du@yahoo.co.uk
(delete whichever does not apply.)

NAME___________________________________________________________________________________

ADDRESS_____________________________________________________________________________________________________________

____________________________________________________________________________________________________________________



Phone number (in case of query)_______________________________________________________________
E-mail address (in case of query)_________________________________________________________________

POST this form to:



Power Books
54 Balham Park Road,
LONDON   SW12  8DU.
United Kingdom
Date you placed order:

_____________________________
E-MAIL:
sw128du@yahoo.co.uk