NEW OR CURRENT ADDRESS
Phone: (required for Airborne Express): __________________________________
Name: ___________________________________________________________
Street Address: ____________________________________________________
________________________________________________________________
________________________________________________________________
City: _______________ State: ________ Zip: _________
Country: ________
OLD ADDRESS (if applicable)
Street Address: ____________________________________________________
________________________________________________________________
________________________________________________________________
City: _______________ State: ________ Zip: _________
Country: _________
__ This is a gift. Please send with a gift card
from me to:
Name: ___________________________________________________________
Street Address: ____________________________________________________
________________________________________________________________
________________________________________________________________
City: _______________ State: ________ Zip: _________
Country: ___________
Gift-card message: __________________________________________________
________________________________________________________________
ITEM #_____BOOK TITLE _______ PRICE __QUANTITY
_ TOTAL
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
SUBTOTAL: ______________
WASHINGTON STATE RESIDENTS add 8.8% sales tax:
____________
SHIPPING AND HANDLING per shipment (circle
one*):
U.S. MEDIA MAIL: $6.00
U.S. FIRST CLASS: $9.00
INTERNATIONAL: $11.00
AIRBORNE EXPRESS: See chart below
ORDER TOTAL: ______________
*Books not yet published are subject
to separate postage and handling charges
when shipped.
METHOD OF PAYMENT
__ Credit card (Visa, Mastercard, American
Express, and Discover)
Credit card#: _____________________________ Exp.
date: ___________
Cardholder name: _____________________________________________
Signature: ___________________________________________________
__ Enclosed check or money order in U.S. funds
AIRBORNE EXPRESS SHIPPING
Airmail shipping via Airborne Express is available
for the following
charges (telephone number is required):
Orders totaling $0-50: $29.00
Orders totaling $51-100: $37.00
Order totaling $101-150: $49.00
If more than $150, please contact customer service
at 1-800-426-3126
(international customers: 1-425-483-3313 or info@martingale-pub.com).
Send completed form to:
Martingale & Company
20205 144th Ave. NE
Woodinville, WA 98072-8478
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