White Oak Associates, Inc. - Order Publications

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Fax Back Order Form

2002 White Oak Inventory of Large Format Theaters

White Oak Associates, Inc.
PO Box 1164, Marblehead, MA 01945
phone (781) 639-0722 fax (781) 639-2491
e-mail: inventory@WhiteOakAssoc.com

Please print this form, fill it out and either mail it to the above address
or fax it to (781) 639-2491.

$225.00 for First Copy	$___________
Format for First Copy (Check one): ____ Printed ____ CD-ROM
$110.00 ea. additional copy	$___________
Qty Add'l Print Copies ____	$___________
Qty Add'l CD Copies ____	$___________
Tax 5% (MA only)	$___________
Subtotal	$___________
United States Postage $6.00 for One	$___________
$2.00 for each additional Print Copy	$___________
Canada / Mexico Postage $8.00 for One	$___________
$4.00 for each additional Print Copy	$___________
All Other Countries:	(Credit Card only)
$20.00 for one	$___________
$7.00 for each additional Print Copy	$___________
Handling for overnight deliveries $3.00	$__________
TOTAL DUE	$___________ (US dollars only)

For speedy return your:
Federal Express Number	______________________
DHL Number	______________________

Note: All non-U.S, orders must be paid by MasterCard, Visa, or American Express.

Method of Payment

Check or money order enclosed (U.S. dollars, drawn on
     a U.S. bank and made payable to White Oak Associates,
     Inc.)
Please invoice me when you send The White Oak Inventory
     (U.S. orders only)
Please charge my credit card number indicated below:

MasterCard    Visa    American Express

__________________________________________
Card Number

__________________
Expiration Date

_______________________________________________________
Card Holder Name

_______________________________________________________
Signature (required to fill order)

Ship to:

________________________________________________________
Name/Title

________________________________________________________
Organization

________________________________________________________
Address

_________________________________________________________
City/State/Zip

_________________________________________________________
Country/Code

_________________________________________________________
Phone Number

Thank you for your order.

_______________________________________________________________
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