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QTYDescription / Title of Book or Magazine Name and Date(s)Total Cost
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Billing Address:

  If paying by credit card, must match name on card.
Title:
First Name:
Last Name:
Company:
Street:
City:
State: Please use the state/provincial abbreviations provided by your postal system.
Zip/Postal Code: If billing to US address, please include your Zip +4. If you do not know add 0000.
Country: [Country Code List]
Email:
Day Telephone:
Night Telephone:
Fax:

Shipping Address:

  The Shipping Address is the same as the Billing Address :
Title:
First Name:
Last Name:
Company:
Street:
City:
State: Please use the state/provincial abbreviations provided by your postal system.
Zip/Postal Code: If shipping to US address, please include your Zip +4. If you do not know add 0000.
Country: [Country Code List]
Special Order Instructions:

Payment Information:

Payment Method: Credit Card
Card Type:
Credit Card #: Security Code #:
Expiration Date: Month: Year:
Questions about shipping? Please see our Ordering FAQ.
Foreign shipping will be calculated and added to your order when processed.

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