RomanticPoetry.com Book and Music Mart Mail Order Form

RomanticPoetry.com Book and Music Mart
Mail Order Form

Item	Qty	Price		Amount
As the Beauty of the Rose Romantic Love Poems Volume I Sonji Rush	______	$19.99		$______
Simply Love Romantic Love Poems Volume II by Sonji Rush	______	$19.99		$______
Words from My Heart Romantic Poetry CD Sonji Rush	______	$17.99		$______
Rush Romantic Trio All the above at a discount	______	$52.17		$______
White Linen Print Your poem choice on White Linen Paper Comments Poem Choice _________________________________ _________________________________ _________________________________	______	$19.98		$______
Ivory Linen Paper Your Poem Choice on Ivory Linen Paper Comments Poem Choice _________________________________ _________________________________ _________________________________	______	$19.98		$______
Floral Linen Paper Your Poem Choice on Floral Linen Paper Comments Poem Choice _________________________________ _________________________________ _________________________________	______	$19.98		$______
Subtotal		TOTAL	$______

Shipping and Handling:				US Priority $7.99 International Mail $11.99
GRAND Total			TOTAL	$______

Italic = Optional

Ship To:

Bill To (If Different):

First Name:	______________________________
Last Name:	______________________________
Email Address:	______________________________
Phone Number:	______________________________
Fax Number:	______________________________
Company:	______________________________
Address:	______________________________
City:	______________________________
State/Province:	______________________________
Zip/Postal Code:	______________________________
Country:	______________________________

First Name:	______________________________
Last Name:	______________________________
Email Address:	______________________________
Phone Number:	______________________________
Fax Number:	______________________________
Company:	______________________________
Address:	______________________________
City:	______________________________
State/Province:	______________________________
Zip/Postal Code:	______________________________
Country:	______________________________

Mail Order Instructions:

Print the page
Complete the form
Send your payment for the grand total amount
along with your completed form(s)

Method of payment:
Check or Money Order

This form is not for charge card or bank card sales
Sales of this type are processed online at:
www.romanticpoetry.com/poetrysales.html

Mail Orders to:

Sonji Rush
Pocket Poetry Publishing
504-3 North Sandhills Blvd
Aberdeen, NC
28315

Your Order will start processing upon delivery of the above. All orders are sent using US Priority Mail unless requested otherwise

If special delivery services are requested
they are done so at the expense of the customer

Additional postage for Orders oustide
the US are paid by the customer