Polebridge Press Books, Tapes and Back Issues Order FormPrint, complete, and mail or fax this form to: Polebridge Press
Willamette University
900 State Street
Salem, Oregon 97301
(503) 375-5323 , toll free (877) 523-3545, fax (503) 375-5324
e-mail polebridge@westarinstitute.org
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Westar members receive a 20% discount on books and tapes from Polebridge Press. There is no discount on back issues of The Fourth R or the Forum.
Shipping within the United States only: $6.00 for first item, $.75 for each additional item. Canadians order from Scholarly Book Services, 1-800-847-9736. Australians and New Zealanders may order from Mosaic Resources, phone +61 3 9470 6650, fax +61 3 9470 2381. In the UK, Europe, Africa and the Middle East orders should be directed to Eurospan Group, 3 Henrietta Street, Covent Garden, London WC2E 8LU. Customer Services: Tel: +44(0)1767 604972, Fax: +44 (0)1767 601640 Email: eurospan@turpin-distribution.com. (Further Information: Tel +44(0)20 7240 0856, Fax: +44(0)20 7379 0609 Email: info@eurospangroup.com)
Ship to:
Name
Address
City
State Zip
Country
E-mail
Day Phone
Billing: All orders must be prepaid.
Check or money order enclosed, payable to Polebridge Press (U.S. dollars drawn on a U.S. bank only)Please bill my Visa MasterCard Discover AmEx Name
Card Number
Security Code (Visa only)________________________
(the last three digits in the signature block on the back of the card) Exp. Date Signature
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