Missing Man Press Retail Order Form

Please print this page and mail (check) or fax (credit card) to the address below.

Product	Price	Quantity	Amount
Fading Toward Enlightenment Signed, 1st Edition, 1st Print Run	$24.95
Fading Toward Enlightenment Cover Frame-able, Signed, Numbered. (Free Shipping)	$100.00
Sub-Total
Florida Residents: Please include 6% Sales Tax
Shipping/Handling Include $5.00 S/H on the first book, $2.00 for each additional book. International orders: $10.00 first book, $3.00 each additional book.
Total Amount

All orders must be made payable in US funds.

Name
Address
City, State Zip
Phone
Email
If paying by credit card (we accept VISA & MASTERCARD) please include the following:
Name on Card
Card Number
Expiration Date

Credit card orders can be faxed to: (484) 208-4024
Orders by check or credit card can be mailed to:
Missing Man Press
1313 S. Military Trail, #193
Deerfield Beach, FL 33442