PRINTABLE ORDER FORM
Please fill out the blank order information and Mail or fax to:
Rev. JoAnn Corsiatto P.O. Box 270 East Texas, PA 18046 Phone or Fax: 516 753-0191
When Paying By Check - Make Checks Payable To : Golden Key Books or Rev. Cecil Corsiatto

e-mail ccors111@yahoo.com

Today’s Date Name____________________
Address_
City _______State_ zip_
E-mail __________ Phone _
Charge Card #______________________ Exp _

Product Name Cost/Item Quantity Total Price

DOMESTIC SHIPPING RATES                                                 INTERNATIONAL SHIPPING RATES
TO $6.00   $2.25                                                                                    TO $35.00   $12.49
TO $10.00  $3.50                                                                                   TO $70.00   $25.00
TO $20.00  $5.50                                                                                    TO $100.00 $37.50
TO $60.00  $7.00
TO $100.00 $10.00
TO $200.00 $20.00
Above $200.00 $30.00

Sub Total Postage

Subtotal with Postage

Total Cost

Special Instructions ______________________________________________
______________________________________________________________

Return To Book Shoppe

PRINTABLE ORDER FORM Please fill out the blank order information and Mail or fax to: Rev. JoAnn Corsiatto P.O. Box 270 East Texas, PA 18046 Phone or Fax: 516 753-0191 When Paying By Check - Make Checks Payable To : Golden Key Books or Rev. Cecil Corsiatto

PRINTABLE ORDER FORM
Please fill out the blank order information and Mail or fax to:
Rev. JoAnn Corsiatto P.O. Box 270 East Texas, PA 18046 Phone or Fax: 516 753-0191
When Paying By Check - Make Checks Payable To : Golden Key Books or Rev. Cecil Corsiatto