-------------------------------------------------------------------------- Couch Fire Order Form -------------------------------------------------------------------------- Please send me Couch Fire for the Newton! [ ] 1 year (52 issues) $39.00 -------------------------------------------------------------------------- __________________________________________________ Full Name __________________________________________________ Email Address __________________________________________________ __________________________________________________ Street Address __________________________________________________ City State Zip/Postal Code __________________________________________________ Country -------------------------------------------------------------------------- [ ] Payment Enclosed (make checks to: Tempest Productions) -------------------------------------------------------------------------- Mail to: Tempest Productions, 204 North Candler Street, Decatur, GA 30030