Pioneer River Press Order Form
Florida residents add applicable sales tax. Overseas orders: Please pay in U.S. dollars drawn on a U.S. bank. Usually ships within 48 hours.
| Your information: | |
| Name: | ____________________________________________________ |
| Organization: | ____________________________________________________ |
| Street: | ____________________________________________________ |
| City: | ____________________________________________________ |
| State: | ____________________________________________________ |
| Zip Code: | ____________________________________________________ |
| Daytime Phone number: (required for all orders) |
____________________________________________________ |
| E-mail address: | ____________________________________________________ |
| Send books to (if different from your address): | |
| Name: | ____________________________________________________ |
| Street: | ____________________________________________________ |
| City: | ____________________________________________________ |
| State: | ____________________________________________________ |
| Zip Code: | ____________________________________________________ |
| ______ Enclose a gift card | Comments/signature on card_________________________________________________ /________________________________________________________________________ |
| Please send the following books: Qty / Author / Title / Price |
| ______________________________________________________________________________ |
| ______________________________________________________________________________ |
| ______________________________________________________________________________ |
| ______________________________________________________________________________ |
| $________________Subtotal |
| $________________Applicable Sales Tax (FL residents) |
| $________________Shipping and handling |
| Shipping and handling (charges apply to EACH shipping address) DOMESTIC orders: $3.50 for the first, $1.00 for each additional book OVERSEAS orders: $6.00 for the first, $2.00 for each additional book |
| $________________TOTAL |
| [ ] Enclosed is my check or money order for _____________. |
| [ ] Attached is my purchase order (valid only for libraries, colleges and bookstores) |