MAIL ORDER FORM

Bill's Books                                                            Title                                                        Price

PO Box 155                                    ________________________________  _______

La Crescent, MN 55947-0155    ________________________________  _______

                                                           _______________________________   _______

507-895-2420                                 _______________________________   _______

                                                           _______________________________   _______

4-6 Weeks for Delivery                   _______________________________   _______

                                                            ______________________________     _______

                                                            ______________________________     _______

                                                            ______________________________     _______

Name _________________________________________                Subtotal________

Address_________________________________________           Shipping________

 _________________________________________                          Subtotal________

City _________________________________________                   Tax*___________

State ________________________________________                  Total __________

ZIP         _________________________________________       * MN Residents add 6.875% Sales Tax

Shipping/Handling Costs (USA Only)

One Book = $4

Two or Three Books = $5

Four or More Books = $6

Foreign Shipping at Cost

Credit Card Number __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __

3-Digit Security Code __ __ __ (on back of card)

Expiration Date __ __/__ __

Signature for Credit Card _______________________________________

SATISFACTION GUARANTEED