PRINT THIS PAGE TO ORDER BY FAX OR MAIL

FAX & MAIL ORDER FORM

MARINE PUBLISHING COMPANY

317 S. Division St., #8, Ann Arbor, MI., 48104

734-668-4734 (Phone & FAX)

KYS __________ Regular Bound Copies ($18.95)

KYS __________ Spiral Bound Copies ($20.95)

Additional Item ___________________________________________________ Price _____________

Additional Item ____________________________________________________Price _____________

Additional Item ____________________________________________________Price ______________

Shipping/Handling - $4 for U.S. (additional items 50¢ each) $6 Canada (additional items $1 each)
Michigan residents add 6% sales tax.

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S/H / Tax_______________

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total_______________
Note: Canadian orders can take at least 2 weeks for delivery due to customs.

Name ______________________________________________________________________________

Address ____________________________________________________________________________

City/State/Prov. ______________________________________________________________________

Zip/Postal Code _______________________ Phone_________________________________________

Card No. ______________________________________________________ Exp. Date _____________

3-digit security number __________ Signature_______________________________________________