THE WITCH OF GREENWICH VILLAGE

MAIL ORDER
Print the form below and mail along with your check or Money Order to:
Port Town Publishing
601 Belknap Street
Superior, WI  54880
(Phone With Questions: 715-392-6843)

Please reserve (#)_____ copies of THE WITCH OF GREENWICH VILLAGE in my name. (I understand that my order will not be shipped until after the release date)

NAME: _______________________________________________________________

ADDRESS: ___________________________________________________________
(No P.O. Boxes, please -- your order will arrive by UPS)

CITY: _________________________________  STATE: ______  ZIP: ____________

PHONE (Optional, but necessary if there is a problem with your order): __________________

CALCULATE YOUR ORDER:

Total of book(s) ordered:                      _________________
Tax (WI residents only):                      _________________
Shipping ($3 1st title, $1 each add. title):           _________________
       (Order 11 or more and shipping is FREE)

TOTAL ENCLOSED:                            ________________

FOR OFFICE USE ONLY:

Date Order Rec'd:     _________________________

Date Order Shipped: _________________________

Amount Enclosed: ______________________