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Payment is due by check, money order or credit card
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Direct from Publisher: BOOK ORDER FORM
Name:______________________________________________________
Address: ____________________________________________________
City: ____________________State: ________ Zip/Postal Code: ________
Country: _________________
#______Books @ $14.95 US each: Title: Shadowed Remembrances
ISBN: 1-4137-1904-X
______ Shipping @ $3.00 US and .50 for each additional book
______ Tax @ 5% each (Maryland residents)
Total Payment Included _______________
By Credit Card:
Credit Card Name:__________________________
Number: _________________________________
Expiration Date:______________
You may print this form and send a check or
money order made payable to:
Publish America, Inc.
P.O. Box 151
Frederick, MD 21705 |