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BOREALIS BOOKS
c/o Chicago Distribution Center
11030 South Langley Avenue
Chicago, IL 60628

Phone orders and customer service:
Phone: 1-800-621-2736; Fax: 1-800-621-8476


Ship to:

______________________________________________________________________________
Name                                                           

______________________________________________________________________________
Address 

______________________________________________________________________________
Address 

_______________________________________________   __________   _______________
City                                              State        Zip

______________________________________________________________________________
Country (if not U.S.A.)

_____________________________________   ______________________________________
Daytime Phone                           Email address


(  ) Check or money order enclosed
     Payable to "Chicago Distribution Center" (U.S. funds only)

(  ) Bill my   (  ) VISA  (  ) MasterCard
 

______________________________________________________________________________
Credit Card No. 

___________________   ________________________________________________________
Exp. Date             Signature


(  ) Charge established account. Retailers, libraries, and institutions,
     attach this order form to your regular purchase order.

(  ) Please add my name to your mailing list to receive future catalogs.
    

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                                                             Subtotal $________

                                              6.5% Tax (MN Residents) $________
                                                  
                                          7% Tax (St. Paul Residents) $________
                                          
                                             8.75% Tax (IL Residents) $________

                                          7% GST (Canadian Residents) $________

                   Shipping $5.00 plus $1.00 for each additional book $________

                                      Canadian/foreign shipping $6.00 $________
                                  plus $1.00 for each additional book
                                    
                                                       TOTAL ENCLOSED $________

Payment in U.S. funds only. Checks drawn on foreign banks must specify U.S. funds.

Orders will be filled at prices and on terms in effect on date of shipment.  
Allow two to four weeks for delivery.

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