MEDIEVAL INSTITUTE PUBLICATIONS
Western Michigan University
1903 W. Michigan Ave.
Kalamazoo, Michigan 49008-5432
(269) 387-8755, FAX (269) 387-8750
http://www.wmich.edu/medieval/mip/


Ship To:
(Please print or type, and provide street address for UPS delivery)

Name ____________________________________________________________________________________________________

Address __________________________________________________________________________________________________

_________________________________________________________________________________________________________

City ____________________________________________ State ____________________________________________________

Country _________________________________________ Postal Code_______________________________________________

E-Mail Address ______________________________________________

Ship via USPS ______________ UPS ______________

 

Quantity     ISBN#/Binding 		Title	                            Price
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							 							 Sub-Total  __________

	     Shipping and Handling (see Order Information for Details)  __________ 

		 	                 Michigan Residents Only--6% Sales Tax  __________
    							                             TOTAL  __________

Shipping and Handling: Postage for orders from the U.S. (USPS or UPS)is $6.00 for the first book; $1.00 for each additional volume shipped to the same address. Postage for orders shipped to Canada (USPS only) is $10.00 for the first book, $2.00 for each additional volume shipped to the same address. For orders originating outside the U.S. and Canada, an additional $10.00 will be added to your order to cover surface mailing. Other priority shipping options are available. For priority shipping methods and rates, please call (269) 387-8755 or contact Cynthia Seedorff (cynthia.seedorff@wmich.edu).

Method of Payment

_____ Check (written on a U.S. Bank) or Money Order (U.S. dollars only)

_____ VISA    _____ MASTERCARD    _____ EUROCARD    _____ DISCOVER CARD
Card # ________________________________	  Exp. Date _____________________



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Telephone # _____________________________________________________________