Rubellite Press - Order Form - Print a copy from Browser To be used for mail order, fax orders or sent by email. If using a Credit Card, type your Name as it appears on your credit card and the exact card billing address.

Your Full Name: Address 1: Address 2:

City:

State:

Zip Code:

Country:

Telephone:

Email Address:

Shipping Address if different from above: Address 1: Address 2:

City:

State:

Zip Code:

Country:

Qty	Book Title	Unit Price	Sub-Total	Final Calculations - in US Dollars
	Pegmatology	$59.00 (US)		Sub-Totals
	The Tourmaline	$75.00 (US)		Shipping (see below)
	The History of Mount Mica	$85.00 (US)		TOTAL
	Set of Hamlin Books - 2 above	$150.00 (US)
	Maine's Treasure Chest	$24.95 (US)
	The Pegmatite Mines Known as Palermo	$150.00 (US)

Shipping Fee
Shipping to:	1-3 books	Each book over 3
U.S. & Canada	$7.00 (US)	$3.00 (US) each
All Others	Email us for price	-

If paying by credit card, Visa or Master Card only:
Card Choices: check one
Card Number:					Expiration Date:

Signature:

Date:

Sign only if mailing or faxing this form. By e-mail, fill in card choice, expiration date only, then see below.

If paying by check or money order, Regular Mail only: Please include with this form a personal check or money order for the full amount of the order chosen (U.S. Currency). Make check payable to "Rubellite Press". Mail the order to the address below.

If paying by Visa or MasterCard by Mail or Fax: Send this order form or the information requested to the address shown below.

If paying by Visa or MasterCard by E-mail: Complete the order form, minus the credit card number and attach the file to the 1st e-mail. In this e-mail, type the first half of the credit card number, example: 1114 4111. In second e-mail, type your last name and last half of the credit card number, example: Doe 4111 1114.

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Rubellite Press Attn: Karen Webber 4976 Saint Roch Avenue New Orleans, LA 70122

FAX: 504-280-6791 E-mail: kwebber@uno.edu Web site: http://www.rubellitepress.com/