Premium Gift Online Order Form

Purchaser Information
Name
Phone
Company
Fax
Address
City/State/Zip
Email
Order Information (pricing includes custom label on orders of ten or more)
Book Description	Quantity	Amount Per Book	Total
Unabridged Edition- (336 pages) Hardcover with dust jacket, 6” x 9”
Abridged G-Rated Edition- (208 pages) Hardcover with dust jacket, 6” x 9”
Fulfillment- donor provides list in excel format		$4
Insertion- donor to provide- post card, folded letter, flyer, ect….		$0.50 / piece
	Shipping ($4 for first book-$1 for every book thereafter)
	Tax (TX only)
	Total
Shipping Information
Use purchaser address		Use the following address
Name
Address
City/State/Zip
1.5” Label Customization Information (we apply to cover)
Please fill in your company information for the label on the front cover in the square below- this is the actual size. (Orders of 10 or more) Call to discuss custom covers

Click submit to send your order. Someone will contact you within 48 hours to confirm order. If you would rather print and fax the form in, click here.