Pan's Grove Order Form

Your Name : ________
Your Address :
City :
State : _
Zip : _____
Phone # : _
Email Address : _
You get : Free Book - Man in the Universe for ordering! Circle the title if you want it.
Is this a gift order , meant to be shipped to someone else? If so, please write their full name and address here : ___
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**Qty of each item * Description * Item # if given * price each * total Qty price**

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( please use end page for extra recorded items ) .....

Gross : _____________________________________

Discounts ( must be a member longer than 1 month ) : ________________________

Coupons : _____________________________________

Adjusted Gross : _________________________________

Subscription Purchase ( if any ) : __________________________

Tax ( if you live in Wy ) : ______________________________

Total Gross : ____________________________

Shipping and Handling : ___________________________

Note : Free Shipping with orders over $200.00, if you've been a Pan's Grove PAID subscriber for longer than 1 yr, you get free shipping w/ the purchase of $100.00 or more.

Grand Total : ___________________________

Orders that are $300 or over @ total gross get the book Moonflower , signed by author Sirona Knight! Please state if you do not want it IF YOU QUALIFY. Thanks!
We can get Azuregreen, Llewellyn, Barron Books, Samuel Weiser and other products. Simply use their prices, ISBN's and descriptions!

Mail your order to : Pan's Grove, 458 S. Walnut St., Casper, Wy 82601
Questions ???? Call : ( 307 ) 577-6411, or email us at : custserv@pansgrove.com ... order questions
email us at : PANSGROVE@prodigy.net - for general / educational info.

extra items :
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