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Millennium Star Publishing
46 Chagrin Plaza #103
Chagrin Falls, Ohio 44022
Email: msp@millenniumstarpublishing.com

Order Information:

Please send me Title of the Book________________________________________________

Quantity Ordered:

(1)___________________________

Book Price Total
Refer to the website for individual or bulk prices and enter here

(2)                                                      

Priority Mail Shipping flat rate
1 copy - $4.95
2 copies - $4.95
3-9 copies - $8.95
10 copies and above qualify for free shipping

(3)                                                      

Order Total (add line 1, 2, & 3 together):

                                                          

Billing  Information: The address associated with your credit card bill

YOUR NAME:

                                                      

YOUR PRIMARY EMAIL ADDRESS: Required for confirmation

                                                      

STREET/P.O. BOX:
Where you receive the credit card bill

                                                      
                                                      

CITY:

                                                      

STATE/PROVINCE:

                                                      

ZIP/POSTAL CODE:

                                                      

TELEPHONE #:

(          )                                                      

 
PAYMENT INFORMATION:

PAYING BY:

___CHECK  ___CREDIT CARD

NAME ON CREDIT CARD:

                                                      

CREDIT CARD #:

                                                      

TYPE OF CARD:

___Mastercard  ___Visa ____American Express ___ Discover

EXPIRATION DATE

_______________Month   ______Year

 
Shipping Information (If different from above):

NAME:

                                                      

EMAIL ADDRESS:

                                                      

STREET/P.O. BOX:

                                                      
                                                      

CITY:

                                                      

STATE/PROVINCE:

                                                      

ZIP/POSTAL CODE: