Print out this form and mail to:
FoxAcre Press
PMB 281
1977 North Olden Avenue Ext.
Trenton NJ 08618-2193 USA
or fax to (609) 882-1043

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
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                     Maryland residents add 5 percent sales tax.    |            |                              
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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.    |            |
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GRAND TOTAL                                                         |            |
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Credit Card number  |__|__|__|__|  |__|__|__|__|  |__|__|__|__|  |__|__|__|__|  

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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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