Order Form for Fu Yiyao's Book

Han Mo Xuan Publishing Co Ltd. 1999. 125pp plus.
55 pieces of Sumi (Shuimo) artwork in ink and color.
English translation of biography and commentary articles by master artists : Kuwabara Sumto, Hirayama Ikuo, Aoyama San'u, Shioide Hideo, Hans Erni, Kawakita Michiaki. Biography by Murata Hiroshi.
Price: US$25 plus shipping ($6.00 for US and Canada, $10.00 outside of US)
Items marked with * are required

*First(Given) name :
*Last(Family) name:
*Email:
*Phone:(with area code e.g. xxx-xxx-xxxx)
Fax:(with area code e.g. xxx-xxx-xxxx)
*Address:
*City:
State:
*Country:
Zip code:
*Card Holder's Name:(EXACTLY AS APPEARED ON CARD)
*Card no. :(no space or dash)
*Expiration Date:(mmyy as in month and year, no space or dash)
*Quantity:


Authorizing Signature (if pay by credit card)_______________________________________

Please complete the above, print a copy for your own record and fax to 1-614-326-0888

To pay by check, complete the form and send with your check payable to:
InTechTra Inc. 3959 Ritamarie Drive, Columbus, OH 43220.