ASYLUM PRESS ORDER FORM
SEND TO: ASYLUM PRESS PO BOX 2875 HOLLYWOOD CA 90068 USA
| TITLES | QUANTITY | PRICE |
| (All orders fully insured by Asylum Press) | ||
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ORDERS SHIP PRIORITY MAIL |
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TOTAL |
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SHIPPING $5 for 1-10 books $9 for 11-20 books |
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Foreign orders add $13.00 |
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(Please pay in check or money order only.) GRAND TOTAL |
Name
Address
State/Zip/Country
I hereby certfy that I am over 18 years of age to order mature readers titles
DATE____________________________EMAIL (FOR MAILING LIST)___________________________________