| Mailing address | Shipping address if different from mailing. No P.O. boxes. |
| Name _________________________________ | Name _______________________________________ |
| Address ______________________________ | Address ____________________________________ |
| City/State/Zip _________________________ | City/State/Zip _____________________________ |
| Phone (day) _______________ | Please include phone number so the store can call if there are any questions about your order |
| Phone (eve) _______________ |
| QTY | TITLE | PRICE | TOTAL |
| __________ | ______________________________________________________ | __________ | __________ |
| __________ | ______________________________________________________ | __________ | __________ |
| __________ | ______________________________________________________ | __________ | __________ |
| __________ | ______________________________________________________ | __________ | __________ |
| __________ | ______________________________________________________ | __________ | __________ |
| __________ | ______________________________________________________ | __________ | __________ |
| __________ | ______________________________________________________ | __________ | __________ |
| __________ | ______________________________________________________ | __________ | __________ |
Subtotal:= $_______
Sales tax is required for in-state orders. See the tax table for tax rates per
state.
Tax: Tax rate _____% = $_______
Shipping: $4 for the first book, $.75 ea. additional book = $_______
(Continental U.S. only. Otherwise, call for rates).
TOTAL: $_______
Payment: ___ Check or money order enclosed ___ Visa
___ MasterCard
Card no. ________ - ________ - ________ - ________
Exp. date ___/___/___
Signature _________________________________
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