Fax Order Form
If you would like to fax or mail us an order, please print and fill out this form.
Fax the completed form to (800) 338-4550 or (717) 794-3803 or mail to:
The Scarecrow Press, Inc.
15200 NBN Way
P.O. Box 191
Blue Ridge Summit, PA 17214
U.S.A.
| Bill To | Ship To | ||
|---|---|---|---|
| Name | Name | ||
| Company | Company | ||
| Address(1) | Address(1) | ||
| Address(2) | Address(2) | ||
| City | City | ||
| State | State | ||
| Country | Country | ||
| Zip/Country Code | Zip/Country Code | ||
| Phone | Phone | ||
| Account # | Account # | ||
| CC Type We accept VS, MC, AX |
CC # Exp Date |
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| Name on CC | |||
| Promo Code | |||
| Special Instructions |
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| ISBN | Title | Qty | List Price |
Discount | Discounted Price |
Qty x Discounted Price |
|---|---|---|---|---|---|---|
| Subtotal | ||||||
| Estimated Shipping & Handling (see above) | ||||||
| Grand Total | ||||||
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