ORDER FORM


THE TWELVE DAYS OF CHRISTMAS GIVING
by Allison Puccetti Adams

To order a copy of the book you may fax the following form
with your order information to 205-278-8720

SHIP TO:

Name_______________________________________________

Address___________________________________________

City______________________State____________Zip_______
Residence___ Business____

Telephone( ) _________________

Instructions:

Signed by author to/ message:___________________________________
______________________________________________________
______________________________________________________
Each of these orders receive an autographed copy free of charge

Number of books ordered:_______________
Additional signed/to messages if any :
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________

Note discount for multiple copies below

PAYMENT:

If ordered with check, please print and mail this form
to 114 Richmar Drive, Birmingham, Alabama 35213
or call 205-914-2400 with questions.
Make checks payable to APA Designs.
____Books X 15.00 (softback)=______ _________Total
____Books X 25.00 (hardback)=______

X .09 Tax=_________TOTAL

Allow 8-10 days for delivery unless special ordered by credit card
with overnight shipping charges to apply.

____Overnight delivery requested (add 1.00 per book)

Credit Card Information:
Bill to Name______________________________
Address_______________________________________________
City___________________________State_________Zip________________
Credit card ____Visa ____Mastercard ____Discover
Number on card___________________________ code on back _________
Signature___________________________________
Phone Number for questions__________________________
Fax number if any so we can send you back a receipt prior to shipping____________
(otherwise it will be included with your books)

_________________

Tax will be added where applicable

THANK YOU FOR YOUR ORDER.

IF YOU HAVE AN EVENT, WANT TO SCHEDULE A SIGNING OR WANT TO ORDER LARGER QUANTITIES,
CALL FOR DISCOUNT STRUCTURE. An order of 5 or more books receives a discount.
5-10 books=10% discount
11-19 books=15% discount
20 or more=20% discount
Those with a tax id number receive special wholesale pricing.
Booksellers, contact us by phone.