Hit ctrl-P to print this form. DO NOT SEND FORM ON-LINE.
Order Details
   Item #
   Shipping & Handling: In the USA, add $10 for 1st book, $1 for each additional. Overseas rates vary. If you have been quoted a specific rate, please mention it in the comments section.
   Ohio residents only: add 6.5% Sales Tax.
Contact Information
   First Name * Required
Last Name * Required
   Address ( No P.O. Boxes ) * Required
   City * Required
State * Required
   Zip Code * Required
   Daytime Phone ( include area code )
() -
   Evening Phone ( include area code )
() -
   Email Address
Ship To Address ( if different )
   Method of Delivery
Sending a gift? Enter the address information below.
( Leave blank if you want us to use your Contact address )

   First Name
Last Name
   Address ( No P.O. Boxes )
   Zip Code
Payment Information
Please enter your credit card information here. Payments are accepted by Visa/Mastercard/Discover or by check or money order. Note that this is NOT A SECURE ORDER FORM! Form should be printed and sent via US Mail.
   Credit Card Type
   Credit Card Number
   Expiration Date
Month  Year 
If there is any further information, please enter it here. Foreign addresses may also be entered here.
Terms of Sale
  1. All books are guaranteed to be whole and complete as described. Any item may be returned for any reason within 10 days of receipt with prior notification. The authenticity of books and autographs is guaranteed in perpetuity.
  2. Please include full payment with order. Visa, Mastercard, and Discover are accepted.
  3. Orders may be reserved for 10 days. Credit terms and payment plans are available to customers who are known to us.
  4. SHIPPING: Please add $10.00 for the first book ordered and $1.00 for each additional. Books are usually shipped within 2-7 days of receipt of order. Shipments are by UPS unless specified otherwise.
  5. All orders to addresses within Ohio must add 7% sales tax.

Feel free to print out and mail or fax this form to:
Kubik Fine Books Ltd / PO Box 134 / Dayton, OH 45409
(phone) 937-294-0253 / (fax) by request