ORDER FORM

Thanks for your interest in ordering additional copies of Get Off the Dime! Print out this form to use to order this book. Ordering is easy, simply look for the quantity you want in the second column, place as ìXî in the first column and send this order form with a check or money order for the appropriate amount* to: Keep the Change, 5201 22nd Ave NE #201, Seattle WA 98105. Allow 3-5 weeks for delivery. For larger orders or faster delivery call 206 524.4496 or

ORDER
QTY
COSTS
WA DEL*
NON WA DEL*
 
1
$15.00
$19.32
$18.00
 
2
$30.00
$36.14
$33.50
 
3
$45.00
$52.96
$49.00
 
4
$60.00
$69.78
$64.50
 
5
$75.00
$86.60
$80.00
 
6
$90.00
$103.32
$95.40
 
7
$105.00
$120.04
$110.80
 
8
$120.00
$136.76
$126.20
 
9
$135.00
$153.48
$141.60
 
10
$150.00
$170.20
$157.00
 
11
$165.00
$186.82
$172.30
 
12
$180.00
$203.44
$187.60
 
13
$195.00
$220.06
$202.90
 
14
$210.00
$236.68
$218.20
 
15
$225.00
$253.30
$233.50
 
16
$240.00
$269.82
$248.70
 
17
$255.00
$286.34
$263.90
 
18
$270.00
$302.86
$279.10
 
19
$285.00
$319.38
$294.30
 
20
$300.00
$335.90
$309.50

* Delivery to Washington State addresses =costs + shipping + sales tax.
Delivery to non-Washington State addresses = costs + shipping.

Ship To: (Must be a street address or United States Postal Service Post Office Box. Books sent USPS Media Mail.)

Name:     ____________________________________________________

Address: ____________________________________________________

          ____________________________________________________

          ____________________________________________________

Phone: (___) _______________________________________________

Email: _____________________________________________________