Nassau Circle

Date:___________________

To: Bob Chapman c/o Carolina Web Marketing
6709 Bent Creek Drive
North Charleston, SC 29420 USA
Fax line: (843) 552-0031

Yes, I want _____ copies of Nassau Circle at $14.99 each, plus $3.50 shipping/handling per book. (Special: No shipping/handling for fax orders!) Allow 2-4 weeks for delivery. South Carolina residents, please include applicable state tax. (5% of $14.99 = 75 cents each)

My check, money order or credit card info for $_______ is enclosed.

Name:___________________________________________

Street Address:___________________________________

City/State/Zip Code:_______________________________

Home Phone #:____________________________________

Fax machine #:____________________________________

E-mail Address:___________________________________

Credit Card: __ Visa __ Mastercard __ Amex __ Discover

Credit Card #:____________________________________

Expiration Date:__________________________________