ORDER FORM

THE TWELVE DAYS OF CHRISTMAS GIVING
by Allison Puccetti Adams

To order a copy of the book you may fax the following form
with your order information to 205-278-8720 (FAX)

SHIP TO:

Name_______________________________________________

Address___________________________________________

City______________________State____________Zip_______
Residence___ Business____

Telephone( ) _________________

Instructions:

Signed to/ message:___________________________________
______________________________________________________
______________________________________________________
Each of these orders receive an autographed copy free of charge

Number of books ordered:_______________
Additional signed/to messages if any :
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________

Note discount for multiple copies below

PAYMENT:

If ordered with check, please print and mail this form
to 63 Church Street, Birmingham, Alabama 35213
or call 205-914-2400 with questions.
Make checks payable to CSC/APA Designs.
____Books X 14.00 (softback)=______
____Books X 19.99 (hardback)=______

X .09 Tax=_________TOTAL

Not guaranteed before December 5.
Allow 8-10 days for delivery unless special ordered by credit card
with overnight shipping charges to apply.

____Overnight delivery requested
Your phone number in case of delivery questions:_______________

Credit Card Information:
Bill to Name______________________________
Address_______________________________________________
City___________________________State_________Zip________________
Credit card ____Visa ____Mastercard ____Discover
Number on card___________________________ code on back______
Signature___________________________________
Phone Number for questions__________________________
Fax number if any so we can send you back a receipt prior to shipping____________
(otherwise it will be included with your books) (payee will be Crestline Seafood Company on card)

THANK YOU FOR YOUR ORDER.

IF YOU HAVE AN EVENT, WANT TO SCHEDULE A SIGNING OR WANT TO ORDER LARGER QUANTITIES,
CALL FOR DISCOUNT STRUCTURE.

Those with a tax id number receive special wholesale pricing.
Booksellers, contact us by phone.