Ordering information

Name__________________________________

Firm___________________________________

Street__________________________________

City___________________________ ST______

Province____________ ZIP/Post Code_____________

Country________________________________

Phone_______________ Fax _____________

e-mail_________________________________

Shipping information (if different)

Name__________________________________

Firm___________________________________

Street__________________________________

City___________________________ ST______

Province___________ZIP/Post Code________________

Country*_____________________________

Phone__________________ Fax____________

Payment information

q Check or money order enclosed (U.S. funds only)

q Charge my credit card (mark one)

o o o o

card number:

__ __ __ ____/__ ____ __ __/____ __ __ __/____ __ __ __/__ ____ __ __/____ __ __ _

expires: __ __/__ __

cardholder name (print)_______________________________

signature: ____________________________________________

Billing address for card if different from ordering address:

Name_____________________________________

Firm______________________________________

Street_____________________________________

City___________________________ ST______

Province______________ ZIP/Post Code_______________

Country*_____________________________

Phone__________________ Fax_______________

Continental USA: USPS media mail process/shipping– U.S. funds only
Total cost of merchandise	Add:
Up to $39.99	$4.50
$40.00-$69.99	$6.50
$70.00-$99.99	$8.50
$100.00 to 199.99	$13.50
$200.00 and up	10% of order

Mail your order to:
Benchmark Publications Inc.
P.O. Box 1594
New Canaan, CT 06840
*International orders, e-mail: BPIsmallpress@benchpress.com