Mail or Fax Order Form for Parlor Press Books

Orders in quantity may be eligible for a discount. See "Sales and Ordering" for more information.  Bookstores and other wholesalers should check for eligible discounts and may submit purchase order numbers in lieu of payment.

To place an order, please print this order form using our print-friendly version and send or fax it to:

Parlor Press
816 Robinson St.
West Lafayette, IN 47906

Fax Orders: 206.600.5076 (Attn: David Blakesley)
Phone Orders: 765.409.2649

QTY	ISBN	Author/Title	Price
Subtotal
Shipping*
Indiana residents include 7% sales tax
Total Remittance

* Shipping charges for mail-in or fax orders from individuals are $3.00 for the first book plus $1.50 for each addtional book. Bookstores and wholesalers will be billed for shipping at UPS Commercial Ground or USPS Media Mail rates.

Payment must accompany orders from individuals or you may charge payment to your credit card:

___  Mastercard      ___VISA      ___ Discover    ___ American Express

Credit Card #		Exp. Date
Signature		Security Code (if any)

 

Billing Address (must match address on credit card; please print clearly)
Name
Address
Address
City		State		Zip
Phone
Email

 

Mail To: (Please print clearly)
Name
Address
Address
City		State		Zip
Phone
Email

 

Purchase Order Number (Bookstores and Libraries Only)
Number