We take Visa and Mastercard

Order Form

(Fill out this form and FAX or mail to the address at the bottom)  
[Back to main page]

Title Price per copy times number
of copies
Plus
shipping cost
Total cost
Please Lord, Make Me a Famous Poet $19.95      
No Cats Have Been Maimed or Mutilated
During the Making of This Book
$8.95      
I Swear He Was Laughing $8.95      
Poems for Adults and Other Children $5.95      
The Naked Clowns $5.95      
Dear Reader $3.00      
Recovery (chapbook)by Pam Blehert $5.00      
The Jasmine Poems by David Ross $15.00      
Pecos County and Other Poems by Olivia Williams Coulter $6.00      

TAX:  VA Residents add 4.5% tax;  Shipping & Handling Rates for Please, Lord . . . (a 416 page book)  Book Rate:1 = $3.00; 2 = $4.00; 3 = $5.00 Priority Mail: 1= $5.00; 2 = $7.00; 3 = 8.00 Rates for All Other . . (a ll smaller books) Book Rate:1 = $2.50; 2 = $3.50; 3 = $4.40 Priority Mail: 1= $5.00; 2 = $6.00; 3 = 7.00

Mailing rate subject to change in accordance with US Postal Service changes. Tax of 5% added for Virginia residents.


Method of Payment:
___Cash ___ Check ___ Mastercard ___ Visa
Your Mastercard or Visa Number:
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Expiration Date: __ / __

Your Name as shown on card (print clearly)

_______________________________________
Signature authorizing payment:

_______________________________________
And please provide phone number if using MC or VISA


_________________________________________

Payable to:
Words & Pictures East Coast
11919 Moss Point Lane, Reston VA 20194
Phone:  703-471-7907  
email: pam@blehert.com
WEB: www.blehert.com


Print Your Shipping Address:
_______________________________________
_______________________________________
_______________________________________
Any special dedication you desire: