The Gray Rider Publishing Company
Order Form (Fax and mail orders)

Mail orders to:
The Gray Rider Publishing Company
143 Longview Drive
Chatham, NY 12037 U.S.A.

Fax orders to:
(518) 392-7062
Order Information
Quantity Author/Title
Price ea.
Total
  Wallace: POW-83
$18.95
 
Subtotal for merchandise:  
New York residents add 8% tax:  
Shipping (see information at bottom of page):  
Order total:  

Payment Information
Name:  
Street Address 1:  
Street Address 2:  
City, State, ZIP, Country  
Daytime telephone number:  
E-mail address:  
Method of payment:

Personal check (mail orders only)

Postal Money Orders(mail orders only)

Bank or Certified Checks(mail orders only)

NOTE: If you fax your order to us, please send the check or money order as soon as possible so we can process your order quickly.

Signature:
 

Shipping & Handling(all amounts in U.S. $)
  U.S. Canada Mexico Carribean (outside of USVI) Europe All other locations
1 book: $3.00 $3.50 $3.90 $4.80 $6.02 $7.55
2 books: $3.70 $5.20 $7.26 $6.95 $9.50 $12.45
3 or more: $4.80 $7.00 $11.42 $9.65 $14.90 $20.55

Note: all U.S. orders will be sent 1st Class or Priority Mail.
All orders being shipped outside of the U.S. will be sent Printed Matter - Airmail rate.