= Required Information
*FIRST and LAST Name:
*BILLING Address Line 1:
Address Line 2:
of Books Ordered:
Buy an extra book as a gift
for a family member or a friend?
*Shipping / Handling Fee:
Shipped from Connecticut
Connecticut Residents: Pay 6% of Order Total
All Other US States: NO Sales Tax
International: No Sales Tax, however YOU are
responsible for any import Tarrif (tax) that your country "may"
apply to your shipment.
Credit Card Number:
NOTE: This order form is SECURE
VERIFY Credit Card Number:
V - Code:
Without this number, we can not process your order.
Card Expiration Date:
Your name exactly as
stated on your credit card:
PLEASE use the return key when your
typing reaches the right side of the box. Thank you.