Please print this form to order your copy(ies) of the Goaltender's Journal! Please make your cheques payable to : J. Stevenson Your Name : ____________________________________________________ Address (1) : __________________________________________________ Address (2) : __________________________________________________ City : _________________________________________________________ Province Or State : ____________________________________________ Country : ______________________________________________________ Postal Or Zip Code : ___________________________________________ Number of Copies : ______________ X $12.95 CDN = _____________ Please add $3.95 for shipping and handling. Please mail this order to : J. Stevenson 22130 Twp. Rd. 514 Sherwood Park, AB Canada, T8E 1H1