The Black Light Book Online Order Form

Instructions:

Enter the quantity in drop-box plus total and enter your card information.

Make sure your printer is turned on and has paper.

Select FILE in the top left of your browser window then select Page Setup

In the Scale box enter 70 for best printing results. Then enter PRINT

Check your order and then mail or phone to the address in the box below.

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Book Mail Order Form		The Black Light Book 3912 Nantasket Street Pittsburgh PA 15207 Toll Free: 1-877-745-7615

	The Black Light Book	$15.95	$
	The Black Light Book	$9.57	$
	The Black Light Book	$8.77	$
	The Black Light Book	$7.98	$
	The Black Light Book	$7.18	$
	The Black Light Book	$6.38	$

FedEx Ground shipping charge to be added to this total			$
Add here any special instructions you may have for your order.

Billing and Shipping Information NO P.O. BOXES PLEASE
BILL TO:		SHIP TO: (Not required if same as BILL TO)
Name:		Name:
Address:		Address:
City:		City:
State:		State:
Country:		Country:
Zip/Post Code:	-	Zip/Post Code:	-
Phone No.:	- -	Phone No.:	- -

Credit Card Information
Credit Card MasterCard Visa American Express	Name as it appears on Credit Card Signature: _____________________________
Card Number - - - Card 3-digit code	Expiration Date Month: Year: