First Name: Last Name: Shipping Address: Phone Number(s): (home) (work) E-mail Address: Type Of Product: Hard Cover Soft Cover Both Multiple Hard Cover Multiple Soft Cover Large Quanity Product item number: Additional Item Numbers or Products How many of each item?: 1 2 3 4 5 6 7 8 9 10 More Where did you hear about Us?: Printed Media (newspapers, magazines etc.) Search Engines (Yahoo!, Lycos, etc...) Through A Friend (word of mouth, etc.) Links(banner click through, etc.) Special or Additional Comments: Please select the payment method you wish to use: Personal Check Money Order Amount Of Payment. Please add 3.25 shipping and handling per item. These items are for me These will be Sent as a gift Please print this form and include with payment, mail all payments to: Marian Writes P.O. Box 570341 Orlando, Florida 32857-0347 Please Allow 2-4 Weeks For Your Shipment To Arrive, Confirmation Via Email Will Be Sent Immediately Upon Receipt
First Name:
Last Name:
Shipping Address:
Phone Number(s):
(home) (work)
E-mail Address:
Type Of Product:
Hard Cover Soft Cover Both Multiple Hard Cover Multiple Soft Cover Large Quanity
Product item number: Additional Item Numbers or Products
How many of each item?: 1 2 3 4 5 6 7 8 9 10 More
How many of each item?:
1 2 3 4 5 6 7 8 9 10 More
Where did you hear about Us?:
Printed Media (newspapers, magazines etc.) Search Engines (Yahoo!, Lycos, etc...) Through A Friend (word of mouth, etc.) Links(banner click through, etc.)
Special or Additional Comments:
Please select the payment method you wish to use:
Personal Check Money Order
