| Poison Pen Press 627 East 8th Street Brooklyn, NY 11218 |
Phone: (718) 853-8121 Fax: (718) 404 - 0617 |
| Sold To: | Ship To: |
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___________________________________ Name ___________________________________ Address ___________________________________ City, State, Zip ___________________________________ Telephone |
___________________________________ Name ___________________________________ Address ___________________________________ City, State, Zip |
| Description or Title & Author | Quantity | $ Each | $ Total |
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| For NY orders, add sales tax | |||
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| Payment Method | |
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| Check Enclosed, Make check payable to "Poison Pen Press". | |
| MasterCard ,Visa or American Express (Please include the CVV2 number.) Card Number: ______________________________ Expiration Date: _____________ Signature: ______________________________________________________________ |
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| Money Order | |
| Home Page | How to Order |