BACK FENCE PUBLISHING
529 E. SCHOOL STREET
NAPERVILLE, IL
60540

ORDER SHEET FOR PAYMENT BY CHECK/ MONEY ORDERS

   Print off this form and fill in.   Make check/Money order payable to BACK FENCE PUBLISHING.   All postal orders and checks should be made in AMERICAN CURRENCY, only. 

LAST NAME_________________________________________   FIRST NAME___________________________

INSTITUTION (if applicable)____________________________________________________________________

STREET ADDRESS_______________________________________  APT, ETC____________________________

TOWN______________________________________________________   STATE (PROVINCE) ______________

  ZIP/ POSTAL CODE__________________ COUNTRY_____________________

E-MAIL ADDRESS_________________________________________ (for confirmation and any problems that may arise)

PHONE NUMBER(_________)__________________________________

 
Single copy of  Eliminating Careless Error             _____   x  $15.95  = $_____________ 
                                                                                                 
5-pack of  Eliminating Careless Error                     _____   x  $64.95  =  $______________

For orders outside the US and Canada, please email publisher@backfencepub.com to get a quote for shipping costs to be added here;

                                                                                                      Shipping                    $2.50

                                                                                                            Total $______________

Allow 2 weeks for delivery.  If there are any questions call (630) 470-9136

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