Print & Mail Order Form

Publication: __________________________________ PO#: ______________


Name:    __________________________________________________________


Title:   __________________________________________________________


Company: __________________________________________________________


Address: __________________________________________________________


City:    ____________________ State:  ___________ ZIP: ____________


Phone:  (____)______________ Fax:    (____)______________


Auth. By:__________________________________________________________


MC/Visa/AMEX _____________________________________ Exp. ___________


Total Charge _____________________

Fax this Form To M. Lee Publishers at 615-373-5183
or
Mail this Form to:
M. Lee Smith Publishers LLC
P.O. Box 5094
Brentwood, TN 37024-5094
or
Call us toll free at 1-800-274-6774