fax

Broadfoot
Publishing
Company
"Fine Books Since 1969"

1907 Buena Vista Circle Wilmington, North Carolina 28411-7892
Order Line (910) 686-9591 Fax Line (910) 686-4452
General Information (910) 686-4816

[email protected]
(Books)

[email protected]
(Service & Unit Records)

. . .FAX ORDER FORM Please use this order form for Books and CDs. (Print this page & fax to: 910-686-4452)
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NAME: ___________________________________________________________

ADDRESS: _________________________________________________________

___________________________________________________________

_{Commercial
[ ]     Residential   [ ]}
CITY:    ____________________________________________________________

STATE: ______________________________ ZIP: _______________________

ITEMS ORDERED:___________________________________________________

_____________________________________________________________________

_____________________________________________________________________
. .

SUB TOTAL: .$__________________

N.C. RESIDENTS, PLEASE ADD 7.75% TAX $__________________

Shipping & Insurance:. ($6.00 - 1st Bk; all other Bks - $3.00 each) .$__________________

( Please call or email for current shipping prices )

TOTAL:.$__________________

PURCHASE ORDER NO..________________________________

or CREDIT CARD: .. VISA [ ] .. MASTERCARD [ ]. . DISCOVER [ ]
CREDIT CARD NO. _____________________________________________
EXP. DATE: mo./_______day/_______year/________

SIGNATURE: _____________________________________________________________
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New Customer? Please Check Here [ ] . -YOUR SATISFACTION IS GUARANTEED-
Thank You for Your Order! We Ship UPS - Most Orders Shipped within 24 Hours

Broadfoot Publishing Company

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