Blue Heaven Books ORDER FORM
In the Company of Newfies by Rhoda Lerman

l Print this form to mail or fax to Blue Heaven Books l Use one form per shipping address l
l Please contact us in advance to determine shipping charges to non-U.S. addresses l

Date_____________________________

Ship to:

Name_________________________________________________________________

Address_______________________________________________________________

City_______________________________    State_________   Zip_______________

Country ______________________________________

Tel ________________________   Fax ______________________

Email   _____________________________________________________________
 

			Total
___________	Books	$27.95 ea
	Shipping (Priority Mail) - First Book	$6.00 ea	$  6.00
	Shipping - Additional Books	$2.00 ea
___________	Note Cards package of 10	$10.00 ea
	Shipping Note Cards 1st Package*	$4.00
	Shipping Note Cards Addl Packages*	$1.00 ea
	*No shipping charge on Notecards when ordered with one or more books
	TOTAL

  (U.S. Shipping only - for non-U.S., please contact us in advance to determine shipping charges)
 
Form of payment:      __ Check or money order enclosed (make payable to Robert Lerman)

__ Credit card     __Master Card     __VISA     __Discover     __American Express
 
Card number______________________________ Exp. date_________________

Name on Card_________________________ Auth code on front or back______________

Signature_______________________________________________
 

Billing Address for Credit Cards:

Mail this order to: Robert Lerman 135 Potter Hill Rd.   Port Crane, NY 13833
Or call 607 648-6199 to order
Or fax  607 648-6205
For information email books@blueheavenbooks.com
Or visit www.blueheavenbooks.com