(937) 294-0253   mail@kubikbooks.com		Click here for a printable form. Order Details    Item #    Author    Title    Price    Add Shipping & Handling: In the USA, add $8 for 1st book, $1 for each additional. Overseas rates vary. If you have been quoted a specific rate, please note so in the comments below.    Ohio residents only: add 7% Sales Tax.    Total Contact Information    First Name * Required Last Name * Required    Address ( No P.O. Boxes ) * Required    City * Required State * Required Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -- Other --    Zip Code * Required - Country    Daytime Phone ( include area code ) () -    Evening Phone ( include area code ) () -    Email Address Ship To Address ( if different )    Method of Delivery UPS Sending a gift? Enter the address information below. ( Leave blank if you want us to use your Contact address )    First Name Last Name    Address ( No P.O. Boxes )    City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -- Other --    Zip Code - Country Payment Information Please enter your credit card information here. Payments are accepted by Visa/Mastercard/Discover or by check or money order. Note that this is a SECURE order form.    Credit Card Type VisaMastercardDiscover    Credit Card Number    Expiration Date Month 01 02 03 04 05 06 07 08 09 10 11 12 Year 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Comments Please enter any further information here. Foreign addresses may also be entered here.    Comments Terms of Sale All books are guaranteed to be whole and complete as described. Any item may be returned for any reason within 10 days of receipt with prior notification. The authenticity of books and autographs is guaranteed in perpetuity. Please include full payment with order. Visa, Mastercard, and Discover are accepted. Orders may be reserved for 10 days. Credit terms and payment plans are available to customers who are known to us. SHIPPING: Please add $8.00 for the first book ordered and $1.00 for each additional. Books are usually shipped within 2-7 days of receipt of order. Shipments are by UPS unless specified otherwise. All orders to addresses within Ohio must add 7.0% sales tax. Feel free to print out and mail this form to: Kubik Fine Books Ltd / 24 Park Avenue / Dayton, OH 45419 (phone) 937-294-0253 / (fax) by request
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