Order Form

ABSOLUTE ZERO PRESS ORDER FORM

1. Print and fill out this order form, then mail to:

    Absolute Zero Press
    P. O. Box 4445
    Chatsworth, CA   91313        U. S. A.

Name: _________________________________________________________________

Address: _______________________________________________________________

City: __________________________________________________________________

State/Province: ______________________________ Zip/Postal Code: _______________

Country: ________________________________________________________________

E-mail address: __________________________________________________________

Phone: ________________________________ Fax: ____________________________

ITEM	PRICE	QUANTITY	TOTAL
A TAIL OF TWO SCOTTIES	$14.95
Sales tax (9.50% California residents only)
Shipping & Insurance Media Mail: $4.00 (1 - 2 copies) / $6.00 (3 - 4 copies) Priority Mail: $8.00 (1 - 2 copies) / $12.00 (3 - 4 copies)
TOTAL (PLEASE MAKE CHECK OR MONEY ORDER OUT TO: “DAVID SCHECTER”)

Payment method (circle one): check/money order Visa MasterCard

Credit card number: _________-_________-________-________ Expiration date: ___________

Signature: _________________________________________________________________


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