The Charles
Press, PublishersPost Office Box 15715 Philadelphia PA 19103 Phone: 215-561-2786 Fax: 215-561-0191
The Charles
Press, Publishers
Post Office Box
15715 Philadelphia PA 19103 Phone: 215-561-2786
Fax: 215-561-0191
Date of Order:
_________________________________________________________________________________________
Purchase Order Number (if you have an acct with us):_________________________________________________________
BILLING INFORMATION: (If
paying with a credit card,
use the address to which your statement
is sent)
Your Name:
___________________________________________________________________________________________
Company:_____________________________________________________________________________________________
Address:
______________________________________________________________________________________________
City, State,
Zip, Country:
________________________________________________________________________________
Billing
Phone (must include): ________________________________ Billing
Fax: ___________________________________
Email:
________________________________________________________________________________________________
SHIPPING INFORMATION: (No post office boxes please)
Name:________________________________________________________________________________________________
Address (include
dept., apt., etc):
_________________________________________________________________________
City, State, Zip,
Country:
________________________________________________________________________________
Shipping
Phone:________________________________________________________________________________________
| Book Title | Qty | Price | Total |
| $ | $ | ||
| $ | $ | ||
| $ | $ | ||
| $ | $ | ||
|
SELECT YOUR METHOD OF PAYMENT: Purchase Order Money Order Check (US only) |
Subtotal | $ | |
| Shipping Rates | $ | ||
| Tax | $ | ||
|
TOTAL |
$ |
All prices subject to change
without notice.