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