| Order Form |
I would like to order ___ copies of the Trade Edition of Justice Illuminated: The Art of Arthur Szyk in softcover. |
| I would like to order ___ copies of the Deluxe Edition of Justice Illuminated: The Art of Arthur Szyk. |
| Name: ___________________________________________________________________ |
Address: _________________________________________________________________ |
City: ____________________________ |
State: ___________________ |
Zip Code: ___________________ |
Country: ___________________ |
Phone: (___) _________________ |
Fax: (___) ___________________ |
Please make check out to:
Historicana |
| My check in the amount of $_______ is enclosed. |
Please charge $________ to my credit card. |
Check one:
______VISA or ______MASTERCARD only.
Card Number _____________________ Exp. Date ______________
Name (as it appears on the credit card):
_____________________________ |
Form with payment may be mailed to:
Historicana
1200 Edgehill Drive, Burlingame, California 94010
If paying by credit card, this form may be faxed to: (650) 579-6014.
Any questions, please contact:
Historicana
1200 Edgehill Drive, Burlingame, California 94010
Phone: (650) 343-9578; Fax: (650) 579-6014.
Email:
Website: http://www.szyk.com |