Trade Paperback Order Form

Print and fax or mail this form with payment

Printable Order Form

Subtotal
*Postage
Handling Charge	$1.00
Wisconsin Residents add 5 1/2% Sales Tax
Total

Name: _______________________________________________________

Address: ______________________________________________________

City_______________________________________ State ______________

Zip___________________ Country_________________________________

Phone: ____________________

Signature_______________________________________________________

Check;Money Order Enclosed __________

Charge to: ____ MasterCard _____Visa _____ Discover Exp. Date __ __/__ __ __ __

Charge Number __ __ __ __-__ __ __ __-__ __ __ __-__ __ __ ___

Email Address (Required for PayPal Orders!) ___________________________

Print and fax or mail this form to:

Hard Shell Word Factory
PO Box 161
Amherst Jct, WI 54407
715/824-3874 (fax)

*Shipping *
for 1 book: $4.05
2 books $5.15
3 books $6.00
4 books $7.20
5 books $8.00
6 or more books $10