ORDER FORM |
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ORDER FORM |
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Please complete the following form and post by snail mail to the
address at the bottom of your form along with your cheque or international money order.
Alternatively bank wire can be arranged. Please email me for further details on this procedure.
| Personal Details | ||
| Title | ||
| First name | ||
| Last name | ||
| Address: Street Name 1 | ||
| Address: Street Name 2 | ||
| Address: Town/City | ||
| Address: County/State | ||
| Address: Zip/Post Code | ||
| Address: Country | ||
| Address: Other Country | ||
| Phone number | ||
| Email address (if applicable) | ||
| Ordering Details | ||
| How many copies of the book are you ordering: | ||
| Denomination | ||
| Other Denomination | ||
| Total cost of books being ordered (see table on golden mantella book page) | ||
| Once completed please send your order (completed order form and cheque) to the following address if outside the USA and Canada:- | Mantella Book Order 56 Baldwin Road Kidderminster Worc's DY10 2UA England, UK |
|
| Cheques/Checks should made payable to:- | M.S.Staniszewski | |
| or in the USA and Canada:- | Mantella Book Order 1038 N.Lightner Wichita KS 67208-2747 USA |
|
| Cheques/Checks should made payable to:- | J.Ehrstein |
All rights reserved. No unauthorised
copies of any aspect of this web page
may be copied in any way, shape or form without prior permission of Marc Staniszewski
© Marc Staniszewski 2000