Print this form and fax or mail your order to: |
|
| Trafalgar Square Books P O Box 257 Howe Hill Road North Pomfret, Vermont 05053 |
Fax #: 802 457 1913 Phone #: Toll Free 800 423 4525 |
| Bill to: | Ship to: |
| Name _____________________________ | Name _____________________________ |
| Address ___________________________ | Address ___________________________ |
| __________________________________ | __________________________________ |
| State/Zip___________________________ | State/Zip___________________________ |
| Daytime Phone ______________________ | Daytime Phone ______________________ |
| Quantity | Name of Book/Tape | Price |
| _________ _______________________________________________ $____________ | ||
| _________ _______________________________________________ $____________ | ||
| _________ _______________________________________________ $____________ | ||
| _________ _______________________________________________ $____________ | ||
| _________ _______________________________________________ $____________ | ||
| _________ _______________________________________________ $____________ | ||
| SubTotal $________________ |
| UPS Shipping $________________ | VT residents add 5% Sales Tax $________________ |
| TOTAL $ ________________ |
| __ MasterCard __ VISA |
| # ______________________________ |
| Expires Mo_______Yr__________ |
| Signature _________________________ |