Order Form |
Qty. | Price | Total Amount |
The Litter of Leaving: Collected Poems @14.95 per copy | |||
Cafe Chimes Cookbook @ $19.95 per copy | |||
Moments @ $9.95 per copy | |||
Undertones @ $10.95 per copy | |||
The Head of the Bull @ $12.95 per copy | |||
Shipping & Handling: (See Shipping & Handling Rates below) | |||
TOTAL ENCLOSED | |||
Payment Method: | Check | Money Order | PayPal |
1 Book | Add $3.50 |
2 Books | Add $5.75 |
3 Books | Add $8.00 |
Additional Books | Add $2.25 for each additional book. |
Your Address: (Please print clearly) | Gift Address: (Please print clearly) | |
Name: |
Name: |
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Street: | Street: | |
City: | City: | |
State: Zip: | State: Zip: | |
Telephone #: ( ) | Telephone #: ( ) | |
E-mail: | E-mail: | |
Number of copies to this address: | Number of copies to this address: |
Chase Publishing
A Division of A.C. Chase Asociates LLC
P.O. Box 1200
Glen, New Hampshire, 03838
Tel: 603-383-4166
Fax: 603-383-8162
Email: achase@chasepublishing.com
www.chasepublishing.com
copyright © 2003 by Chase Publishing