ORDER BY FAX
| PO #___________________ | Date___________________
|
BILL TO: | SHIP TO:** | | Name: | ___________________ | ___________________ |
| Address: | ___________________ | ___________________ |
| ___________________ | ___________________ |
| ___________________ | ___________________ |
Phone: | ___________________ | ___________________ | Contact: | ___________________ | ___________________ | **UPS does not deliver to Post Office Box addresses; please provide a street address. |
| I would like to order the following titles: |
| TITLE | AUTHOR | QTY | PRICE | TOTAL |
________ | ________________ | ________ | ________ | ________ | | ________ | ________________ | ________ | ________ | ________ |
| ________ | ________________ | ________ | ________ | ________ |
| ________ | ________________ | ________ | ________ | ________ |
| ________ | ________________ | ________ | ________ | ________ |
| Sub-total: | ________ |
| Shipping: | ________ |
| | ________ |
Total: | ________ | FAX TO EDICIONES DEL NORTE: 603-542-1256
|
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