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)    

ORDERS SHIP PRIORITY MAIL

   

TOTAL 

   

SHIPPING $5 for 1-10 books $9 for 11-20 books 

   

Foreign orders add $13.00

   

(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)___________________________________