Please send me _____ copies of MYSTERIES OF THE UNIVERSE.
For each copy, I have enclosed $ 19.99 (includes S & H anywhere in US).
(U.S. Funds Only. Orders to be shipped outside US please add $8.00 S & H)
_________TOTAL ENCLOSED
SHIPPING ADDRESS (please print):
______________________________________________
(Name)
______________________________________________
(Address)
______________________________________________
(City)(State)(Zip)
______________________________________________
(Telephone - for billing inquiries only)
METHOD OF PAYMENT(Check all that apply):
Issuing bank_____________________________________
CREDIT CARD .NUMBER (13 to 16 numbers)
EXP. DATE:
C.I.D. CODE:
The C.I.D. code is the last 3 numbers of the code on the back of most credit cards OR the 4-digit code on the front of the American Express cards above the credit card number.
SIGNATURE_______________________________________
In 3 easy steps you can purchase your own copy of MYSTERIES OF THE UNIVERSE.
STEP ONE: Print this order form.
STEP TWO: Provide your address, billing information and number of copies you wish to receive.
STEP THREE: Mail your payment along with the completed order form to:
SALEM'S LOT
107 W. MAIN
SALEM, IL 62881
Please make checks and/or money orders payable to Salem's Lot. That's all there is to it! Then you can continue to open your mind to a new way of thinking.
