Billing Information:
Name:    ______________________________________________________________
Address: ______________________________________________________________
         ______________________________________________________________
City:    _____________________________  State: ______  Zip: ___________
Phone:  (_______)______________________________________________________
E-Mail:  ______________________________________________________________


Shipping Information (do not fill out if shipping to the above address):
Name:    ______________________________________________________________
Address: ______________________________________________________________
         ______________________________________________________________
City:    _____________________________  State: ______  Zip: ___________
Phone:  (_______)______________________________________________________


Comments:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________


***********************************************************************
*                                               Quantity   Subtotal   *
*   Making God Talk Make Sense  ($17.95 each):  ________   ________   *       
*   Shipping                    ( $4.95 each):  ________   ________   *
*                                                                     *
*   Additional Gift (any amount over the cost              ________   *
*   of the book & shipping is tax deductable):                        *
*                                                                     *
*                                                  TOTAL:  ________   *
*                                                                     *
*              Make check or money order out to ST. LUKE              *
*                    ( ) Check     ( ) Money Order                    *
*                                                                     *
***********************************************************************     
   
        Send this form along with your check or money order to:          

                    Dr. Vernon G. Goff c/o St. Luke                       
                    11810 Burke St.
                    Omaha, NE  68154
                    (402) 333-6886
                    e-mail: god-talk@process-theology.org