Order Form
~ Submit in US Dollars ~
Questions? Call Us Toll Free at 888-354-5957
(* indicates a required field)
Title
Qty
Unit Price
Extended Price
$
$
Sub-Total :
$
California residents add Sales Tax :
$
(S&H = Shipping Charges plus Handling
Fee
)
W
ithin
the Continental
USA,
S&H = 5.50
p
er boo
k
(Media Mail 7-10 days)
or
...
S&H = 7.50 per book
(Priority Mail 2 days)
O
utside the Co
ntinental
USA,
S&H = 12.00
per book (
1st Class)
$
(U.S. Currency) Total $
$
*
First and Last Name:
*
Email:
*
Credit Card billing address:
*
Street
Add'l
*
City:
*
State/Province:
*
ZIP/Postal Code:
*
Phone:
Ship-to Address
(if different):
Stree
t
City:
State/Province:
ZIP/Postal Code:
Credit card information:
We accept Master Card, Visa or American Express
*
Card type:
Choose credit card type
Mastercard
Visa
American Express
*
Card number:
eg: 1234-5678-9012-0000
*
Expiration:
eg:
12
/
10
*
Cardholder Full
N
ame:
*
CCID:
As an added security measure, we ask that you enter an extra 3-4 digit number located on the back of your credit card, on or near the signature panel, called the CCID. (American Express customers have a 4 digit CCID located on the front of the card.)
Robertson Publishing • 59 North Santa Cruz Ave., Suite B • Los Gatos, California 95030 USA
408-354-5957 or Toll Free 888-354-5957
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