Jaguar Publishers Order Form

Product	Qty	Unit Price	Amount Due
Subtotal:
Click here if you live in		Sales Tax:
For 5 or more copies shipped to the same address, Jaguar Publishers will pay the shipping and handling Shipping:
Grand Total:

To order by email with credit card, complete form below and submit.

To pay by telephone, have credit card ready and call 850-728-2100.

To order by fax tollfree, complete form below, print, and fax to 866-310-1684

To order by regular mail, complete form below and print.

Blue Fields Not Required if Mailing Check or Purchase Order

CUSTOMER INFORMATION

Credit Card Type:	VISA MasterCard American Express Discover
Card Number:
Exp. Date:
Name:
Organization:
Address1:
Address2:
City, State, Zip:
Phone:
Email address:

Jaguar Publishers

Suite 200, 406 Piedmont Drive
Tallahassee, FL 32312
Phone: 850-728-2100 • Fax Tollfree 866-310-1684