Name and Address

Full Name:

Email Address:

Full Mailing Address:
 


Books(s) Ordered

Title of Book(s) and Author(s):


Total Amounts (You need not fill in this part of the form.)

Total Amount (the price of the book(s)):

Shipping (Enter $6.00 for first book; $2.00 for each additional book — for airmail, contact publisher before ordering):

Subtotal (Enter the total price, including shipping):

GST (Enter 5% Goods & Services Tax, in Canada only):

GRAND TOTAL (Enter final total, including shipping and GST):


Card Information

Payment by:

Name on Card:

Card Number:

Expiry Date on Card:


Comments

Would you like a full catalogue?


Additional comments, if you wish):