Manisy Willows Books Faxable Order Form

Please print this form, fill it out and fax it to (512) 347-9996

Item
Quantity
Unit Price
Cost
Dippin’ My Spoon
  $14.00  
Do The Right Thing
 
$17.95
 
Tax
Texas Only
 
Shipping &

Handling

 
$3.20
for first book

$0.75
Each additional

 
   
Total
 

Please charge to my:

  • MasterCard ________________________________ Exp Date (MM/YY)______
  • Visa ________________________________ Exp Date (MM/YY) ______
  • Amex ________________________________ Exp Date (MM/YY) ______

 

  • Check Enclosed __

Name EXACTLY as shown on card: ________________________________

Billing address: __________________________________________

_______________________________________________________

Phone Number: ______________________

 

Signature: _____________________________________________

Ship to ( If different from above): __________________________

_______________________________________________________

 
How would you like the book signed? Please be specific. ___________________________
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