ORDER FORM
LITERARY LIAISONS, LTD.
Customer Information:
Name: _____________________________________
Address: ____________________________________
City, State, Zip: _______________________________
Country: ________________
E-mail address: ________________________________
|
Quantity |
Title |
Author |
Price |
Total |
|
Sub Total |
$ __________ |
|
Less 10% discount |
$ _(_______)_ |
|
Tax (IL residents) 8.25% |
$ __________ |
|
Shipping & Handling (See below) |
$ __________ |
|
Total |
$ __________ |
|
Number of Items |
Amt. in US Dollars |
|
1 to 2 items |
$3.00 |
|
3 to 4 items |
$4.00 |
|
5 to 6 items |
$5.00 |
|
7 or more items |
$6.00 |
NOTE: Please enclose payment in Check or Money Order U.S. dollars only, made payable to Literary Liaisons, Ltd.