- Print
and send this ORDER FORM for mail or fax orders
-
- Millennium
Star Publishing
- 46
Chagrin Plaza #103
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Order Information:
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Please
send me Title of the
Book________________________________________________
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Quantity
Ordered:
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(1)___________________________
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- Book
Price Total
- Refer
to the website for individual or bulk prices and enter
here
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(2)
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- 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
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(3)
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Order
Total (add line 1, 2, & 3 together):
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Billing Information:
The address associated with your credit card bill
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YOUR
NAME:
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YOUR
PRIMARY EMAIL ADDRESS:
Required for confirmation
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- STREET/P.O.
BOX:
- Where
you receive the credit card bill
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CITY:
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STATE/PROVINCE:
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ZIP/POSTAL
CODE:
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TELEPHONE
#:
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(
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PAYMENT INFORMATION:
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PAYING
BY:
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___CHECK
___CREDIT CARD
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NAME
ON CREDIT CARD:
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CREDIT
CARD #:
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TYPE
OF CARD:
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___Mastercard
___Visa ____American Express ___ Discover
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EXPIRATION
DATE
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_______________Month
______Year
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Shipping Information (If different from above):
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NAME:
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EMAIL
ADDRESS:
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STREET/P.O.
BOX:
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CITY:
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STATE/PROVINCE:
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ZIP/POSTAL
CODE:
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