Order Form 2 - Free Download
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Enfield Publishing & Distribution Co.
ORDER FORM
Send completed form to:
Enfield Publishing & Distribution Co. Fax: (603) 632-5611
234 May Street (for UPS and Truck deliveries) E-mail: info@enfieldbooks.com
P.O. Box 699 http://www.enfieldbooks.com
Enfield, New Hampshire 03748 Telephone: (603) 632-7377
USA
List the requested items below. Please include as much information as possible (publisher, title, ISBN, price).
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Where to ship the items. Please include your full name, street address (including apt #) or P.O. box, city, state, ZIP or postal code,
and country if outside USA.
Billing Address: Shipping Address (if different):
_______________________________________________ _______________________________________________
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_______________________________________________ _______________________________________________
_______________________________________________ _______________________________________________
_______________________________________________ _______________________________________________
_______________________________________________ _______________________________________________
E-mail: _____________________________________________________________________
Add Shipping:
Shipping cost varies depending on destination, shipping method, and size of order. Please contact us for a shipping quote.
Payment Method:
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Check enclosed. (Please allow an additional 2 weeks for delivery.)
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Bank wire transfer. (We will send you additional instructions for wire transfers.)
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Credit Card:
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Visa
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Mastercard/Eurocard
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American Express
Card Number: _________________________________ Expiration Date: _____ / _____ Security Code: ______
Signature: ____________________________________ Date: ____________________
Carefully Print the Name of cardholder (as it appears on the card): __________________________________________
Copyright 2000-2006, Enfield Publishing & Distribution Co. All rights reserved. 1.06
