Please print all information.

Your name: _____________________________________________

Address: __________________________________________________
City: ______________________ State __________ Zip
Daytime phone number: (     ) _____________________
Fax number: (     ) _____________________

Number of books ordered: ______

(   ) Check enclosed. If paying by check, please mail this form to
Bertram Yacht, Attn. Bertram Gear, at address below.

(   ) Credit card: (   )Visa (   )Master Card
Name on credit card: ______________________________________
Credit card number: _______________________________
Exp. Date ____________________

If paying by credit card, please fax this form to Bertram Yacht
at 305- 633-2868.

Note: "The Legend of Bertram" may also be purchased through
our website: bertram.com

Book: $ 39.95 Florida Shipments Sales Tax $2.60
US S & H: $10.00