SCHIFFER PUBLISHING

4880 Lower Valley Rd. • Atglen, PA 19310

Phone: (610) 593-1777 • Fax: (610) 593-2002

Order Hrs. (Eastern): 8:30 a.m. – 5:30 p.m.

Name________________________________________________

Address______________________________________________

City_____________________________State______Zip________

Phone_______________________________________________

QTY   TITLE AND AUTHOR   Price     TOTAL

  Fly Me to the Moon  34.99 ___________________    

POSTAGE & HANDLING per book    7.00  ________

Enclosed find a check money order

in the sum of $

Please bill my:

____Master Card                   ____Visa                          _____AMEX

Account no./ all digits: _______________________________________

CVNumber: ____________________Exp. Date: ___________________

Autograph Requested

To: