Atheneum Press


PO Box 9052
Springfield, IL 62791-9052
Website: www.unforgettablefaces.com
E-mail:

ORDER FORM
_____________________________________________________________
Unforgettable Faces: Through the Eyes of a Nurse Practitioner

By Elizabeth D. Tate and Michael R. Pranzatelli
ISBN # 0-9673365-0-3, Library of Congress Cataloging 99-095280
First Edition, September 1999, 461 pages, softbound. List price $12.00 in US; $25.00 in Canada. Illinois state tax certificate no. for Atheneum Press
is T3056-8803.

Shipping & Handling
(Tiered rates based on units)
Rates apply to continental US only. Contact publisher for quote on shipments to Alaska, Hawaii, Canada,
and international destinations. All rates subject to change.
Less than 10 books: US postal rate (allow 7-10 working days for delivery; no tracking)
Ten books or more: Ground UPS (allow 3-5 working days for delivery; ground tracking provided)

Book Quantity S & H rate
1-4 $3
5-9 $8
10-14 $14
15-19 $20
20-24 $24
25 or more Contact Publisher for rates
Ordering
1. Book Quantity
#
2. Book Unit Price
$12.00
3. Quantity X Unit Price
$
4. Shipping & Handling
$
5. Sales Tax (add 7.25% to sum of lines 3 and 4 for IL orders)
$
Total Purchase (sum of lines 3, 4, and 5.
$

Ship to:
Attn:__________________________________________________________________
Department_____________________________________________________________
Institution_______________________________________________________________
Street Address (no P.O. box please) ______________________________________________________________________
City___________________________________________________________________
State____________________________Zip_______________________________
Phone( ) ________________________ Fax ( ) ___________________________

Purchase Orders

(For university, hospital, government, or other institution).
P.O. # __________________________________________________
Signature _______________________________________________
Printed Name ____________________________________________
Title ___________________________________________________
Department ______________________________________________

Please make check or money orders payable and mail to:
Atheneum Press
P.O. Box 9052
Springfield, IL 62791-9052

Autograph
Do you want a first author autograph? (Please circle) Yes or No
If so, whom do you want it addressed to?
To_________________________________________________________________________