Mail and Fax Order Form
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Simply print this page, fill it out and either mail it to: Please Circle One: Visa | Mastercard | Amex | Discover Card Number: _______________________ Expiration Date: _________ Signature: ___________________Print Name:____________________ Mailing Address: ___________________________________________ _________________________________________________________ Daytime Phone: _______________ Evening Phone: _______________
Contact E-Mail Address: ____________________________________ Book: _____________________________________________________ Cost: ______ Qty: _______ Total: _______ Book: _____________________________________________________ Cost: ______ Qty: _______ Total: _______ Book: _____________________________________________________ Cost: ______ Qty: _______ Total: _______ Book: _____________________________________________________
Cost: ______ Qty: _______ Total: _______ Total Charges: _____________
Shipping & Handling is $4.95 first book, $2.25 each additional. Shipping & Handling: __________ N.Y. Residents include tax on both items and shipping: ____________________ TOTAL DUE: __________ |