Print out this form and mail to: |
Accepted forms of payment: Check, Money Order, Visa, Discover, American Express, or Master Card. All payment must be in U.S. dollars. |
Number Item Price ordered Totals _________________________________________________________________________________ | | | | _________________________________________________________________________________| | | | | ________________________________________________________________________________ | | | | | _________________________________________________________________________________| | | | | _________________________________________________________________________________| Maryland residents add 5 percent sales tax. | | ____________________________________________________________________|____________| Select Shipping and Handling Method (Shipped via U.S. Mail) | | |__|U.S. 1st Class/Priority $3.50 first book, $1.50 per add'l book. | | |__|U.S. Media Mail/BPM $2.00 first book, 50¢ per add'l book. | | |__|To Canada $4.00 first book, $2.00 per additional book. | | |__|To Mexico $4.00 first book, $2.00 per additional book. | | |__|Other (surface) $5.00 first book, $3.00 per additional book. | | ____________________________________________________________________|____________| GRAND TOTAL | | ____________________________________________________________________|____________| | | | | | | | | | | | | | | | | | | | | Credit Card number |__|__|__|__| |__|__|__|__| |__|__|__|__| |__|__|__|__| | | | | | | Expiration date (mm/yy) |__|__| / |__|__| SIGNATURE required for CREDIT CARD PURCHASE:____________________________________ NAME:___________________________________________________________________________ ADDRESS:________________________________________________________________________ CITY:__________________________________ STATE:_________________ZIP:____________ PHONE:____________________________ EMAIL ADDRESS:_______________________________
Enclose credit card number, check or money order in U.S. Funds and mail to: FoxAcre Press, PMB 281, 1977 North Olden Avenue Ext., Trenton, NJ 08618-2193 USA or fax to (609) 882-1043. Phone and email information are optional. We do not sell customer information. Please contact us via email at info@foxacre.com for a shipping quote prior to placing a large order, or to arrange for special or expeditated handling to an overseas address.
www.foxacre.com <<<>>> info@foxacre.com
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