William Bruneau, Publisher Order Form
 18001 Shafer Ranch Road, Willits, CA 95490-9626 USA
www.bbruneau.com • email:publish@bbruneau.com • fax 707-459-1925

Ordering Information
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Ordering Information
 Please print carefully

Name

Address

City/State

Zip

Phone (for order problems only)

FAX or e-mail (optional)

[    ] Alternate Delivery Address (work address, etc - where post office delivers)
[    ] Gift name & address (include salutation and short message if you wish)

Name

Address

City/State

Payment Information   &nbsp-   &nbspplease print carefully
 Note Method of Payment

[    ] Check or Money Order (Pay to William Bruneau)

[    ] Cash

[    ] Credit Card: MasterCard, Visa, Am Exp, or Discover

Card #:

Card Verification # (On the back of your credit card, the last three digits of code in your signature area):

Expiration Date (MM/YR):

 

The Bidet Book @ $ 7.95

$

The Folic Acid Book @ $9.95

$           

The Vegetable Gardener's Guide Poster @ $9.95

$           

CA Residents Sales Tax: 7.25 %  ($.72 per poster, $.56 per book)

$

Shipping Charge, First Class to any U.S. zip code ( Book $1, Poster $3 )

$

Shipping Charge, Surface, outside U.S. zip codes   ( Book $3, Poster $6 )

$

Shipping Charge (Rush Charge for Second Day delivery is $10)

$

Total Enclosed

$


Copyright 2006, William Bruneau


 

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