FAX & MAIL ORDER FORM

MARINE PUBLISHING COMPANY

317 South Division St.,  #8, Ann Arbor, MI., 48104

734-668-4734 (Phone) 734-661-7295 (FAX)


KYS __________ Regular Bound Copies ($18.95)


KYS __________ Spiral Bound Copies ($20.95)


Additional Item ___________________________________________________ Price _____________


Additional Item ____________________________________________________Price _____________


Additional Item ____________________________________________________Price _____________


Additional Item ____________________________________________________Price ______________


Shipping/Handling - $4.50 for U.S. (additional items $1 each) $7 Canada (additional items $2 each)
Michigan residents add 6% sales tax.

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Note: Canadian orders can take at least 2 weeks for delivery due to customs.


Name ______________________________________________________________________________


Address ____________________________________________________________________________


City/State/Prov. ______________________________________________________________________


Zip/Postal Code _______________________ Phone_________________________________________


Card No. ______________________________________________________ Exp. Date _____________


3-digit security number __________ Signature_______________________________________________