Fax Order Form (for U.S. orders)


To: W. W. Norton Order Department, Dept. I
Keystone Industrial Park
Scranton, PA 18512
FAX# 1-800-458-6515
Ship to:
Name ___________________________________________________________
Address ________________________________________________________
City ___________________________________________________________
State/Province _________________________________________________
ZIP/PC ______________________ Phone ____________________________
============================================================================================== ISBN Title/Author Qty Price
_______________ _______________________________________ _____ __________
_______________ _______________________________________ _____ __________
_______________ _______________________________________ _____ __________
_______________ _______________________________________ _____ __________
_______________ _______________________________________ _____ __________

Subtotal ____________
*Residents of CA, NY, PA, VT, MI and IL Sales Tax* ____________
must add their local sales tax. Order total ____________

Method of payment: ___ VISA ___ MasterCard ___ American Express ___ Check/money order

Note: Order forms must be mailed with a check or money order or else faxed with a credit card number. We do not bill individuals. Residents of Vermont must add their local sales tax.

Acct. _______________________________ Exp. Date _______ Signature ___________________________

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