Interstate Publishing

Order Form

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TO ORDER: COMPLETE THIS FORM AND RETURN IT WITH YOUR PAYMENT TO:

INTERSTATE PUBLISHING COMPANY

P.O. Box 339, Crete, IL  60417
OR FAX ORDER TO: 1-708-946-3565

Master Card/Visa /American Express #_________________________________________

Exp. Date_______

3 digit CVV Code _______

Signature _______________________________________________________________

Company Name: ______________________________________________________

 Attention:           ______________________________________________________

Address:              ______________________________________________________
                                                                               (No P.O. Box)
City/State/Zip    ______________________________________________________

Email Address:  ______________________________________________________

Number of Copies               _______ ($175.00 per copy)

Amount Enclosed               $___________________

The cost of this publication is $175.00 including Tax and Shipping charges. We accept Visa and MasterCard for quick and easy payment and as always, checks and money orders are also welcome.

Also, feel free to e-mail or call us with any questions about placing your order.