www.arky.org A 501-C-3 Non Profit Corp

Book Store

ARKY's Bookstore P.O. Box 20069 Dayton, OH 45420-0069 Bookstore Order Form

Bill to

Name: ______________________________________________________

Addr: ______________________________________________________

City: ____________________________ ST: ___ ZIP: ______________

Date ________________ Phone: ( _______ ) _______ - ____________
Please print neatly, or type. (Use Membership form to join ARK)

Ship to (if different):
Name: ______________________________________________________

Addr: ______________________________________________________

City: ____________________________ ST: ___ ZIP: ______________

Date ________________ Phone: ( _______ ) _______ - ____________

Catalog #	Title of book, video, audio, poster, or article.	Price US$	Qty	Extended $s
.	.	.	.	$
.	.	.	.	$
.	.	.	.	$
Sub Total		$
Member Discount off retail (30%)		-
Ohio Address Sales Tax (7.5%)		+
US Surface Shipping (if not for pickup at meetings), 7% or $3.50 minimum		+
Total Enclosed (Credit, Check or Money order payable to ARKY's Bookstore)		$

 

VISA, MasterCard, NOVUS/Discover: __ __ __ __-__ __ __ __-__ __ __ __-__ __ __ __
Expired: __ / __ / __, 3 digit code on back of card  __ __ __