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ORDER FORM |
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Please send me: |
Quantity |
Total $ |
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Theodor Storm |
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Shipping and handling: $4.00 for first book plus |
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Total enclosed: |
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Method of Payment: q Check q AMEX q MasterCard q VISA |
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Credit Card No. _________________________________________ |
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Expiration: mm/yy: ______ / ______ |
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Signature: |
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Checks must be drawn on a US bank, payable to Peter Lang Publishing. |
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Name: |
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Address: |
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City: |
State: |
Zip: |
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Telephone: |
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US and Canadian Customers send form and payment to: |
All other countries, for ordering contact: |