Book Cost Per Book Qty Autograph
by Author		 Sign To
( Don't forget Class year! )		 Total Cost
$ 17.95  
$ 17.95
$ 19.95
$ 19.95
$ 19.95
Sub - Total:
Shipping:
Add $10 for shipping if fewer than 6
books are shipped to same address
Total:
Personal Info Credit Card
First Name: *
Last Name: *
Organization:
Phone:
Email: *
American Express Discover
Mastercard Visa
Name on Credit Card: *
Credit Card Number: *
Expiration Date:
*  (mm) *  (yyyy)
Address Info
Billing Address
Country
Address: *
City: *
State:
*
*
*
Postal Code: *
Shipping Address
Same as Billing Information  
Address: *
City: *
State:
*
*
*
Postal Code: *
Promotional Code
If you have a promotional code for a fundraising campaign for your Club, please enter it here. $5 from every book will be donated back to the Club.
Code:  
Order Amount
  Order cost $    TAX Exemption   Tax Id Number:  
TAX $ 
Total $ 
  * Required Field
HOME ABOUT CINDY BOOK DESCRIPTIONS ORDER FORM
  @ 2006 Cindy's Books | All Rights Reserved | Email us at CindyB@CindysBooks.com  | Site Credit: