Name ____________________________________________________________________________
Institution _____________________________________________________________________ Address _________________________________________________________________________ City / State / Zip ______________________________________________________________ Phone Number ____________________________________________________________________ Check or money order enclosed Master Card or VISA Account # ________________________________________ Expiration date ____________ Signature _____________________________________________________ MC VISA Bill my company ( purchase order attached ) Purchase order __________________________________________________________________ Signature _______________________________________________________________________ Libraries and institutions may be billed but must include an authorized signature or purchase order. EXAMPLE: Order # Qty Author/Title ISBN Cloth/paper Unit price Total ___________________________________________________________________________________________ 3 | 1 | Dosse/Empire of Meaning |0-8166-2964-1| cloth | $16.00 | $16.00 _________|____|_____________________________|_____________|___________|__________|_________ Order # Qty Author/Title ISBN Cloth/paper Unit price Total ___________________________________________________________________________________________ | | | | | | _________|____|_____________________________|_____________|___________|__________|_________ | | | | | | _________|____|_____________________________|_____________|___________|__________|_________ | | | | | | _________|____|_____________________________|_____________|___________|__________|_________ | | | | | | _________|____|_____________________________|_____________|___________|__________|_________ | | | | | | _________|____|_____________________________|_____________|___________|__________|_________ | | | | | | Total order ________ Sales tax ________ (IL addresses add 8.75%; Canadians add 7% GST.) U of MN Press remits GST to Revenue Canada. Your books will be shipped from inside Canada, and you will not be assessed Canada Post's border handling fee. Shipping ________ (Add $4.00 for the first book and $1.00 for each additional book. For orders outside the U.S. add $5.00 for the first book and $1.00 for each additional book.) Total payment ________ Total number of books ordered ________ All payments must be in U.S. dollars. Please read the order form notice before ordering. Code: MN 63670 63676 When ordering, send entire order form.