M. Lee Smith Publishers

Print & Mail Order Form

You can save this file, print it on your printer, fill it in, and send it to us by regular mail.

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
Mail this Form to:
M. Lee Smith Publishers LLC
P.O. Box 5094
Brentwood, TN 37024-5094

Call us toll free at 1-800-274-6774

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