ELDRIDGE PUBLISHING COMPANY
FAX: 1-800-453-5179 OR MAIL: PO BOX 14367 - TALLAHASSEE, FL 32317


                  (Please Print Clearly!)

SHIPPING/CONTACT INFO:

NAME: ________________________________________________________

SCHOOL/THEATRE: ______________________________________________

STREET: ______________________________________________________

CITY/ST/ZIP: _________________________________________________
NOTE: 'X' here [__] if this is organization's address

EMAIL: _______________________________________________________

PHONE: (_______) ________ - __________________

PERUSAL ORDER: Send one (1) copy of each title "X'd":
[__] Alice Thru The Looking Glass [#1038] - $4.50
[__] Cinderella? [#1085] - $4.50
[__] Frumpled Fairy Tales [#1197] - $4.50
[__] Jack And The Beanstalk [#1106] - $4.50
[__] The Legend Of Santa Pig [#1098] - $5.95
[__] Murder Me, Murder Me Not [#1359] - $6.50
[__] Pinocchio [#1107] - $4.50
[__] Snow White And The Little Men [#1055] - $4.50

HANDLING CHARGES:
• Order totaling up to $10.00 - add $4.95
• $10.01 to $50.00 - add $7.95
• RUSH! - For 2nd business day service there is an additional fee of $10.00.
          (Time Estimated By Carrier - Can NOT Be Guaranteed)
ORDER TOTAL:

$____.____ (SCRIPTS) + $____.____ (S & H) = $____.____ (TOTAL)


PAYMENT METHOD ("X" ONE):
[__] CHECK, [__] CREDIT CARD OR [__] PO (#__________)

CREDIT CARD NUMBER (All Digits):

|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|

EXPIRATION: |__|__|__|__|

SIGNATURE: ___________________________________________________
           Signature & Exp. Date (Required for charge order)

Thank You For Your Order!

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