Blue Dolphin Publishing Order Form
Print this form for mail or fax orders.
Blue Dolphin Publishing Order FormPrint this form for mail or fax orders.
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Billing Address (as shown on credit card statement if paying by credit card): Name __________________________________ |
Shipping Address Name __________________________________ |
Payment Method
__ Visa __ MasterCard __ American Express __ Discover
__ Check # ______ (Checks payable to Blue Dolphin Publishing. Checks must be in U.S. funds, drawn on a U.S. bank.)
Credit Card Number ___________________________ Exp. Date _________
Signature ____________________________________
Please ship me the following:
Qty. _____ Title ____________________________________ Price _______
Qty. _____ Title ____________________________________ Price _______
Qty. _____ Title ____________________________________ Price _______
Qty. _____ Title ____________________________________ Price _______
Qty. _____ Title ____________________________________ Price _______
Qty. _____ Title ____________________________________ Price _______
Qty. _____ Title ____________________________________ Price _______
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Discount __________ Subtotal __________ Tax 7.375% (CA residents only) __________ Shipping __________ TOTAL __________ Thank you for your order! |
FAX (credit card orders only) this form to: (530) 477-8342, or
MAIL
(with payment) to Blue Dolphin Publishing, P.O. Box 8, Nevada City, CA
95959.
Please write "Order Enclosed" on the outside of the
envelope.
Phone orders: (800) 643-0765