ORDER SHEET FOR PAYMENT BY CHECK/ MONEY ORDERS
Print off this form and fill in. Make check/Money order payable to BACK FENCE PUBLISHING. All postal orders and checks should be made in AMERICAN CURRENCY, only.
LAST NAME_________________________________________ FIRST NAME___________________________
INSTITUTION (if applicable)____________________________________________________________________
STREET ADDRESS_______________________________________ APT, ETC____________________________
TOWN______________________________________________________ STATE (PROVINCE) ______________
ZIP/ POSTAL CODE__________________ COUNTRY_____________________
E-MAIL ADDRESS_________________________________________ (for confirmation and any problems that may arise)
PHONE NUMBER(_________)__________________________________
For orders outside the US and Canada, please email publisher@backfencepub.com to get a quote for shipping costs to be added here;
Shipping $______________
Total $______________
Allow 2 weeks for delivery. If there are any questions call (630) 470-9136