DENIS McDONNELL / BOOK ORDER

653 Park Street, Honesdale, PA 18431-1421 U.S.A.
Telephone: (570) 253-6706 Facsimile : (570) 253-6786
E-mail: dmd@ptd.net ~or~ denisbks@hotmail.com

~Order Form~

You may print or save this form on your PC and fax or mail it.

NAME:__________________________________________________________________

BUSINESS:______________________________________________________________

ADDRESS:_______________________________________________________________

CITY:___________________________________________________________________

STATE/PROVINCE:____________________________ CODE:______________

TEL: ____________________________ FAX: ____________________________

E-MAIL: ___________________________________

ITEM No.----------------------------TITLE----------------------------------------US$ PRICE
========================================================================

_______ | _____________________________________________________| _____.____

$_____.____ Sub-Total

$_____.____ 6% PA Sales Tax (Pennsylvania residents)

$_____.____ Postage & Handling*

$_____.____ TOTAL

POSTAGE & INSURANCE: $3.00 Postage & Handling for the first item ordered and $1.00 for each additional item. Books are sent via US Postal Service Media Mail or Bound Printed Matter in the US. For USPS Priority Mail it's $5.00 for the first item and $1.00 for each additional item. I use Economy (Surface) Letter-Post or Economy (Surface) M-Bag for Canada and overseas. Global Priority Mail can be used for many books (depending on book size) and costs $7.00 for Canada & Mexico and $9.00 for most other countries. All items are insured under a blanket policy. For a quote on surface mail, contact me.

FORM OF PAYMENT: Check one.
[ ] Card: _________________________________________ Exp.Date:____/____
[ ] US Dollar Check
[ ] UK Sterling Check
[ ] Ship With Invoice (must be a library or have made prior arrangements).

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