Name:
Company:
Address:
City:
State/Province:
Zip/Postal Code:
Country:
Phone: Fax:
Email:
ORDER @ $3 ea (min. order 5 books)
Oct 2004 Comeback Issue #1.1 book(s)
Dec 2004 #1.2 book(s)
Feb 2005 #1.3 book(s)
Apr 2005 #1.4 book(s)
Jun 2005 #1.5 book(s)
Aug 2005 #1.6 book(s)
Book Total
SHIPPING
USA & Puerto Rico: $4
Canada: $7
All other countries: $9
ADVERTISING
guidelines
Ad Type
# of Issues
Starting Issue #
# of Inserts/CDs per Issue (must print & mail orderform with inserts/CDs)
call/email to confirm size of print run (min 1000 bks)
Advertising Total
GRAND TOTAL
PAYMENT METHOD
Check or Money Order
(in USD$ made payable to NATALIE J. HALL)
Electronic Check or Credit
Card via Paypal
Visa - Discover - Mastercard - American Express
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