2877 ½ OLD MISSION ROAD TELEPHONE: (231) 223-7864
TRAVERSE CITY, MI 49686-8714 TELEFAX: (231) 223-7868
Email: jeanne.m.hannah [at] charter.netName: _______________________________________________ * (* Required information)
Mailing Address: _______________________________________________ * (Street, P.O. Box)
_______________________________________________ * (City, State, Zip Code)
_______________________________________________ * (Telephone number)
_______________________________________________ * (Email address)
_______________________ * Date
[Please note: We do not retain any of this information after payment to our account, nor do we divulge any of the information given by you on this form to any third party]
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Number of Copies ____ @ $14.95 each |
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Michigan residents please add 6% sales tax |
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Shipping and Handling** |
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** Shipping & Handling rates are $4.95 per 1—2 books, $8.50 per 3—10 books. NOTE: All books must be shipped to same address. For books shipped to multiple addresses, please calculate at $4.95/per book. Please allow up to seven (7) days for delivery.
Please charge my VISA / MasterCard (circle one) account the amount indicated above as the total for my order
____________________________________________ Account Number
____________________________________________ Expiration Date
____________________________________________ Security Code
____________________________________________ Name of Account holder
____________________________________________ Signature of Account holder
PLEASE MAIL TO OLD MISSION PRESS AT THE ADDRESS ABOVE, OR TELEFAX TO (231) 223-7868