Bookstore Order Form

Heritage Quest Research Library
909 Main Street, Suite 5
Sumner, WA 98390-1424

Bookstore Order Form

Name:

Street Address:

City, State, and Zip Code:

E-mail Address: Daytime Phone Number:

No C.O.D.s. Please include a check or money order with this form. Credit card payment information is at the bottom of this form.

*IF THERE IS A CALL NUMBER, BUT NOT A PRICE, THE ITEM IS IN THE PERMANENT LIBRARY COLLECTION AND NOT FOR SALE.

Name of Item(s)

Stock Number

Price*

Shipping and Handling within the United States:
$5.00 for the first book, $2.00 for each additional book

Shipping and Handling for Canada and International:
$8.00(US) for the first book, $3.50(US) for each additional book

Subtotal

Shipping and Handling

WA Residents Add 8.8% Sales Tax

Total

Credit Card Orders Only

Cardholder Name:
(print exactly as it appears on the card)

Credit Card Number: Type of Card (circle one): VISA MasterCard

Both required: Daytime Phone # and Zip Code: Expiration Date:

Signature:

09/26/05

Name:
Street Address:
City, State, and Zip Code:
E-mail Address:	Daytime Phone Number:

Shipping and Handling within the United States: $5.00 for the first book, $2.00 for each additional book Shipping and Handling for Canada and International: $8.00(US) for the first book, $3.50(US) for each additional book	Subtotal
	Shipping and Handling
	WA Residents Add 8.8% Sales Tax
	Total

Credit Card Orders Only
Cardholder Name: (print exactly as it appears on the card)
Credit Card Number:	Type of Card (circle one): VISA MasterCard
Both required: Daytime Phone # and Zip Code:	Expiration Date:
Signature: