Brass Ring Bookstore Order Form

Brass Ring Bookstore ORDER FORM

Print these two pages from your Internet web browser, fill in all applicable areas and send in with your check, money order or credit card information. If you would rather order over the phone or via fax (with a VISA or MasterCard), please call us toll-free at:

1-800-606-9463

Please Print Clearly:

Name: ___________________________________________________________________________

Phone: (Hm) _________________________________ (Wk) ________________________________

Street Address: ____________________________________________________________________

City/State/Zip/Country: _____________________________________________________________

Ship To Address:

Name: ___________________________________________________________________________

Phone: (Hm) _________________________________ (Wk) ________________________________

Street Address: ____________________________________________________________________

City/State/Zip/Country: _____________________________________________________________

Payment/Charge Information:

Payment Amount: $ _________________ By: Check or MO ____ / MC ____ / Visa ____

Credit Card #: _______________________________ Credit Card Exp. Date: _________________

Signature:_________________________________________________

Brass Ring Bookstore
ORDER FORM

ITEM NO. ITEM NAME/DESCRIPTION PRICE QUAN AMOUNT

Outside U.S.A.: Please make international bank money order payable in U.S. funds drawn on U.S. bank MERCHANDISE SUBTOTAL

SHIPPING & HANDLING

TOTAL AMOUNT REMITTED

SHIPPING & HANDLING
U.S.A. CANADA & MEXICO EUROPE/AFRICA WESTERN HEMISPHERE PACIFIC RIM/ASIA

First Item Each Additional Item First Item Each Additional Item First Item Each Additional Item First Item Each Additional Item First Item Each Additional Item

$4.00 $2.00 $6.50 $2.50 $13.50 $7.50 $9.50 $4.50 $17.50 $9.50

**SHIPPING & HANDLING**
U.S.A.	CANADA & MEXICO	EUROPE/AFRICA	WESTERN HEMISPHERE	PACIFIC RIM/ASIA
First Item	Each Additional Item	First Item	Each Additional Item	First Item	Each Additional Item	First Item	Each Additional Item	First Item	Each Additional Item
$4.00	$2.00	$6.50	$2.50	$13.50	$7.50	$9.50	$4.50	$17.50	$9.50

*U.S.A. Only: For Priority mail add $5.00 per order

Make checks payable to: Brass Ring Bookstore

Mail to: Brass Ring Bookstore, PO Box 51436, Eugene, OR 97405
Fax: (541) 683-1084
24-HOUR TOLL FREE ORDER LINE
800-606-9463

ITEM NO.	ITEM NAME/DESCRIPTION	PRICE		QUAN	AMOUNT







Outside U.S.A.: Please make international bank money order payable in U.S. funds drawn on U.S. bank		MERCHANDISE SUBTOTAL
		SHIPPING & HANDLING
		TOTAL AMOUNT REMITTED