The West Virginia Book Company - Fax/Mail Order Form

The West Virginia Book Company
Fax/Mail Order Form

Title/Author	Price	Qty	Total








Subtotal
WV Residents please add 6% sales tax
Shipping ($5.00 for first item, $0.50 for each additional item)
TOTAL

Payment Information

Check or Money Order made payable to Pictorial Histories Distribution

CREDIT CARD, Circle One: VISA / Mastercard

Credit Card Number:

Expiration Date:

Name on Credit Card:

Customer Signature:

Please note: Items on customer credit card statement will appear as Pictorial Histories

Customer Information

Customer Name:

Address

City, State, Zip

Email Address

Print this form, complete, and mail or fax to:
The West Virginia Book Company
c/o Pictorial Histories Distribution
1125 Central Avenue, Charleston WV 25302
Fax number: 304-343-0594

Orders cannot be filled without complete information. Most orders shipped within 2 business days via UPS Ground or USPS Priority Mail. Shipping charges shown are for the 48 states of the continental U.S. only. Contact us for other special shipping arrangements.

CREDIT CARD, Circle One:	VISA / Mastercard
Credit Card Number:
Expiration Date:
Name on Credit Card:
Customer Signature: