Order Form - Canada

ORDER FORM - UNITED STATES for 1 to 9 books

To order 10 or more books contact Eramosa Valley Publishing for quantity discount, telephone 519-856-1065 fax 519-856-2991

INSTRUCTIONS: 1) Print this order form, 2) fill it in clearly, 3) mail it to the address below.

SEE IMPORTANT NOTES ABOUT PAYMENT AND SHIPPING BELOW

	Volume I	Volume II	Volume III
Hard bound (quantity)
Soft bound (quantity)

Please send me ________ hard bound @ $27.00 per copy	$
Please send me ________ soft bound @ $18.00 per copy	$
Total number of book(s) ______ and TOTAL COST OF BOOK(S)	$
Add shipping and handling as listed below	$
TOTAL AMOUNT U.S. FUNDS (Cashier's Check or Money Order enclosed)	$

Send book(s) to the following address (only one address): Date mailed: _____________________

Name: ___________________________________________________________________________________

Complete
Address: _________________________________________________________________________________

_________________________________________________________________________________
City/Town State Zip Code

Telephone/E-mail: (daytime phone/E-mail to reach you about order): Work #__________________________

Home #_________________________ E-mail___________________________________________________

Add a note or comment:

NOTES:

All orders must be accompanied by a Cashier's Check or Money Order payable to Eramosa Valley Publishing.
Please print very clearly so your order will not be delayed.

SHIPPING AND HANDLING COSTS (U.S.)
(surface mail)
1 book....................$ 7.00
2 to 3 books............$ 8.50
4 to 6 books............$ 9.50
7 to 9 books............$10.50

Send order with payment to:

ERAMOSA VALLEY PUBLISHING
P.O. BOX 370,
ROCKWOOD, ONTARIO, CANADA
N0B 2K0