| Ship to: | |
| Name: | ___________________________________ |
| Address: | ___________________________________ |
| Address: | ___________________________________ |
| City/State/Zip: | ___________________________________ |
| Email: | ___________________________________ |
We accept payment by check, money order (US funds) or credit card.
| WSP # | Title of Book | Qty | Price | Total |
| ________ | ________________________________ | ___ | _______ | _______ |
| ________ | ________________________________ | ___ | _______ | _______ |
| ________ | ________________________________ | ___ | _______ | _______ |
| ________ | ________________________________ | ___ | _______ | _______ |
| ________ | ________________________________ | ___ | _______ | _______ |
| ________ | ________________________________ | ___ | _______ | _______ |
| Shipping and Handling Charges | Sub Total | _______ | ||
| U.S.: $3.00 for the first item, plus $1.50 for each additional one. | S & H | _______ | ||
| Canada: $7.50 for the first item plus $3.00 for each additional one(Air). Europe/Asia: $10.00 for the first item plus $6.00 for each additional one(Global Priority or Air). | Total | _______ | ||
| Credit Card | Visa MC AmEx Discover Security Code:_________ |
| Name on Card | _______________________________________________ |
| Number/Exp Date | ______________________________________ ____/____ |
| Signature | _______________________________________________ |
| Phone | ______________________ Email ____________________ |
| Mail form to: | Washington Summit Publishers |
| P. O. Box 3514 | |
| Augusta, GA 30914 | |
| Fax form to: | (706) 733-7652 |
| Call order in | (706) 736-4884 |