Please
type or print clearly
Name:
_________________________________________________________
Title/Position:____________________________________________________
Organization:____________________________________________________
Address:________________________________________________________
City:________________________
State/province:_____________________
Country:_____________________
Zip code:_________________________
Telephone:___________________
Fax:_____________________________
Email
address:__________________________________________________
Do
you need an invoice? ____ Yes ____
No
| Quantity |
Price |
Total |
| |
x $24.95 |
|
| |
Shipping & handling |
|
| |
TX residents add 8.25% |
|
| |
Order Total |
|
- Shipping & handling: $3.00 for the first
book (U.S. & Canada), $1.00 each additional
item.
- $10.00 for international, $3.00 each additional
item.
Please
call or email us if you'd like to order 10 books or
more, or if you need rush delivery (info@moderndayvikings.com).
Return
this order form with your payment (check only) to:
Modern-Day
Vikings
7709 Meadow Park Drive
Suite 102
Dallas, TX 75230
Tel: (214) 363-2853
Fax: (214) 853-5914
Email: info@moderndayvikings.com
