LIFTING THE WHITE VEIL
ORDER FORM

Name:

__________________________________________________________

Street:

__________________________________________________________

__________________________________________________________

City/State/Zip:

__________________________________________________________

Phone:

__________________________________________________________

Email:

__________________________________________________________



 

ITEM

QTY.

PRICE PER ITEM

AMT.($)

Lifting the White Veil

 

$22.95

 

Shipping

 

$4.95

 

New Jersey residents - sales tax

 

$1.38

 

New York residents - sales tax

 

$0.92

 

TOTAL

 

 

 

Method of Payment

___ Check or money order enclosed (payable to Crandall, Dostie & Douglass Books)

___ Please charge my credit card

___ VISA

___ MasterCard

___ Discover

___ American Express

Card #_______________________________________________________

Expiration Date __________________

Signature ____________________________________________________________

Return order form to: Crandall, Dostie & Douglass Books, 245 West 4th Ave., Roselle, NJ 07203.

Credit card orders may be faxed to: (908) 245-4972 or made by phone at (877) 679-6119.