| MAIL
TO: |
FAX TO:1-850-650-1263 |
Mail
or Fax Order: Form for ALASKA,
HAWAII
|
| Book Title |
Price (US$) |
*Quantity |
Sub Total |
**Shipping
by Priority
Mail, Insured |
Invoice Amount |
| 95.00 |
1 |
95.00 |
12.60 |
107.60 |
|
Payment by: |
|
Check |
|
Credit Card |
|
Credit
Card |
Card No. |
Expiration (Ex. 05/08 for May, 2008) |
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Order Date:______________________ Signature:_________________________________
Billing and Shipping Address (*required)
| * |
Name |
|
|
|
Title |
|
|
|
Organization |
|
| * |
Street Address |
|
| * |
City |
|
| * |
State & ZIP |
|
| * |
Work Phone |
(If applicable) |
| * |
Home Phone |
|
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E-mail (for ship notification) |
|
Thank you for your order. |
|
. |
D.
H. Pascoe & Co., Inc. Publishing Team |
| **As of 01/01/08. Fees subject to change without notice | |