Order Form
International Publishers
235 W 23RD ST FL 7
NEW YORK NY 10011-2302
FAX: 212-366-9820
Phone: 212-366-9816
Before you print this form, please see How to Order. Also, when you fill out this form, please print.
Ship my order to: Name: _________________________________________________________________ Street Address: __________________________________________________________ City: __________________________________ State: ____ ZIP+4: _________ - ______ Country (other than U.S.): __________________________________________________ |
Charge to my: [ ] Visa [ ] MasterCard [ ] Discover [ ] Amex Card Number: _______________________________________ Expiration Date (month and year): _______/______ Signature: __________________________________________ Your Email Address: ___________________________________ Your 10-digit phone number (daytime): _____-_____-_________ |
Note: Because each ISBN number begins with "ISBN 978-0-7178-,"
you need only write its five-digit suffix (nnnn-n).
ISBN |
Title |
Quantity |
Price Each |
Total |
$ |
$ |
|||
$ |
$ |
|||
$ |
$ |
|||
$ |
$ |
|||
$ |
$ |
|||
$ |
$ |
|||
$ |
$ |
|||
Shipping Charges: Calculate according to the Shipping Charges instructions on the How to Order page. |
$ |
|||
Total of all books plus shipping charges. |
$ |
|||
New York State Residents: Add the sales tax reqired in your area on
the |
$ |
|||
TOTAL ENCLOSED (or charged). |
$ |
|||
Top of Page