MAIL ORDER FORM
Please print a copy of this form and send with payment to:
Patch Publications
P.O. Box 443
Providence, UT 84332
NAME:
_________________________________________________________________________
ADDRESS:
_____________________________________________________________________
CITY:
__________________________________________________________________________
STATE:
___________________________________
ZIPCODE:
_________________________________
COUNTRY:
________________________________
PHONE NUMBER:
__________________________
EMAIL ADDRESS:
__________________________
_____________________________________________________________________________________________________________________
Step 1 - Determine cost for quantity needed:
"AEIOU & Sometimes Y" - $16.95 X QTY
________
BOOK TOTAL = ______________________
Step 2 - Calculate shipping & handling
Within the United States:
1 book = $5
Note: will be sent Priority mail (2-3 days)
Add $.50 for each additional book
Note: will be send Media mail (7-10 days)
Outside the United States:
*** Please call for shipping rates
***
SHIPPING TOTAL
= ________________________
GRAND TOTAL
= ________________________
Step 3 - Mail this form & payment to:
Patch Publications
PO Box 433
Providence, UT 84332
NOTE: Acceptable forms of payment include: cash, check, or money order.
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