ORDER FORM 
(DO NOT COMPLETE ONLINE )
Print form and mail or fax to:
A & A Publishers, Inc.
Attn: Web Orders
43608 Habitat Circle
Lansdowne, VA 20176-8254
Phone: (571) 333-0169
Fax:    (571) 333-0167

 
METHOD OF PAYMENT: (choose one method):

____ Check enclosed
____ Company Purchase Order:  (We must have your P.O. #) ___________________
____ Credit Card: (Circle One)                 Visa         MasterCard      AmEx            Discover

Card # _______________________________________________  Exp. Date _________

3 or 4-digit security code (usually on back of card, Amex front) ______________

Print name appearing on card _____________________________________

Address where you receive your credit card bills:

____________________________________________________________

Signature_____________________________________________________
 
 
SEND MY BOOKS TO:

Company Name  ______________________________________________________

Title (Circle one) Dr. Ms. Mr. Rev. Other _________

Attention:  ____________________________________________________________

Circle degree: MD RN MDiv LSW LCSW MSW PhD Other ____

Street Address   ________________________________________________________

                          ________________________________________________________
 

City, State, Zip     _______________________________________________________

Phone (          ) ______________________  FAX (          )________________________

COMPLETE LINES BELOW INDICATING QUANTITIES OF EACH TITLE

Also, add shipping and Virginia sales tax if you are a tax-paying Virginia company or resident of Virginia. If books are being shipped outside of Virginia DO NOT INCLUDE SALES TAX.
 
 
 
 
 
Item Quantitiy
a. Hard Choices for Loving People, 5th ed. a.  _________
b. Decisiones Difíciles ("Hard Choices" (5th edition) in SPANISH) b.  _________
c. Light in the Shadows c. _________
d. Total # of books (a+b+c) d. _________
e. Price per book (See list) e. _________
f. Total for books (d x e) f. _________
g. VA sales tax (5% of f.) g. _________
h. Shipping & handling (see chart below) h. _________
i. Total due (f. + g. + h.)  i. _________

 

Price List
Number of Books Price
1-9 $ 6.00 each
10-24 $ 4.25 each
25-49 $ 3.50 each
50-99 $ 3.10 each
100-249 $ 2.35 each
250-499 $ 1.95 each
500-999 $ 1.65 each
1000-1499 $ 1.25 each
1500-1999 $ 1.10 each
2,000-3,999 $ 1.00 each
4,000+ $   .90 each

Shipping and Handling Charges