PHD Order Form

Faxable / Printable Order Form

To order:
Print the blank form below, complete and fax to 301-265-1784, call (301) 648-7943, or mail to:
Unique Print Services - 1901 Tistlewood Dr. Fort Washington, MD 20744
You will receive your order in 2-3 business days.

First Name:	Last Name:
Phone:	Fax:
Address:	City:
State:	Zip:
e-mail address:	Company:

Qty Item# Product Description Unit Cost Total Cost

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Add $4.95 ($1.00 for each additional book) shipping and handling

Payment Method:
___Check ___ Money Order

First Name:

Last Name:

Phone:

Fax:

Address:

City:

State:

Zip:

e-mail address:

Company: