Kaleidoscope Eyes Order Form

If you prefer to mail in your order, please fill out this form (by typing in the boxes below), print it, and mail it along with a check, Money Order or Cashier's Check made out to Curvebender Publishing to the address below.

PLEASE NOTE: A signature will be required for delivery. Please provide an address that will have someone available to sign for the book during normal business hours.

Payment due in US dollars per book ordered is: $507 for US shipping addresses ($495 + $12 shipping); $525 for shipping addresses in Canada ($495 + $30 shipping); $535 for Mexico ($495 + $40 shipping); and $555 for all other countries ($495 + $60 shipping). The cost of shipping is included in this payment.

email address:
phone number :
Number of copies:
Name and mailing address:
Optional Comments:

Please click the print button below (or on your browser's toolbar) and mail this form along with your payment to the following address:

Curvebender Publishing

16506 F.M. 529, Suite 115-243

Houston, TX 77095

You will be emailed a receipt for your purchase.

Questions? orderhelp@curvebender.com