The Chronicles Order Form

JFK Lancer Productions & Publications

To Order The Chronicles: Simply Print or Download this page
Orders may be Faxed or called in: (214)264-2007 or mailed: 332 NE 5th St. Grand Prairie, TX 75050
EMAIL your order here:by copying/pasting the information below into the email form.

You must include the following information:

Name_______________________________________________________________________________________

Address_____________________________________________________________________________________

City__________________________________State/Province__________________Zip___________Country_____

Day phone______________________Fax______________________E-mail adress__________________________

Name of card-holder____________________________________________________________________________

Credit Card Type____________Signature___________________________________________________________

Number________________________________________________________Expiration Date__________________

Shipping Method (for international orders)__________BOAT ___________AIR

Checks or Money Orders must be drawn on US banks.
CUSTOMER NUMBER
BEGIN SUBSCRIPTION / LENGTH
QTY.
PRICE EACH
TOTAL

________________/___________________________________________________/_______/__________/_________/

SUBTOTAL_________________

TEXAS RESIDENTS ADD 7.5% TAX_________________

S&H_________________

TOTAL_________________

Thank you for your subscription!

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