ARKY's Bookstore Order Form


www.arky.org
A 501-C-3 Non Profit Corp

Book
Store

ARKY's Bookstore
P.O. Box 20069
Dayton, OH 45420-0069
Bookstore Order Form

 

Bill to:

Name:_______________________________________

Addr:________________________________________

City: ________________ ST: __ ZIP: ____________

Date _________ Phone: ( ___ ) _____ - ___________

 

Phone: (_____) _______ - _____________

 

Email: _______________________________________

Ship to (if different):

Name:_______________________________________

Addr:________________________________________

City: ________________ ST: __ ZIP: ____________

Date _________ Phone: ( ___ ) _____ - ___________

Phone: (_____) _______ - _____________

 

Email: _______________________________________

Please print neatly, or type. (Use Membership form to join ARK)

Catalog
#

Title of book, DVD, CD, poster.

Retail
Price US$

ARKY
Price US$

Qty

Total
US$ * Qty


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$


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$


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$


(Form updated 5/16/2014 1:57:12 PM) ____________ Order Sub Total

$

Member Discount off retail (30%)

-

Subtotal

=

Ohio Address Sales Tax (7.25%)

+

US Surface Shipping (if not for pickup at store),
S&H for less than $20 = $4.50 , add $.50 for each additional $0-$5 of purchase,

+


Total Enclosed (Credit, Check or Money order payable to ARKY's Bookstore)

$

 

VISA, MasterCard, Discover: __ __ __ __-__ __ __ __-__ __ __ __-__ __ __ __
Expires: __ / __ / __, 3 digit code on back of card  ___ __ __