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.