MAINSPRING PRESS MAIL-ORDER FORM Print out, complete, and mail with payment or credit card information to: MAINSPRING PRESS / 9230 S. Buttonhill Ct. / Highlands Ranch, CO 80130-4421 (USA) FOR U.S. ORDERS, USE: Check, money order, or VISA / MasterCard. FOR ORDERS OUTSIDE THE U.S., USE: International money order, bank draft, or VISA / MasterCard. Orders from outside the US must be payable in U.S. dollars.

SHIP-TO NAME :

SHIP-TO ADDRESS :

CITY :

STATE / PROVINCE :

ZIP CODE / ZONE :

COUNTRY :

VISA / MASTERCARD: Please complete all sections exactly as shown on your card. * = REQUIRED FIELD. (A valid phone number is required by our credit card processor. We never telemarket or reveal phone numbers to outside parties).

* NAME EXACTLY AS SHOWN ON CARD :

BILLING ADDRESS FOR CARD (IF DIFFERENT FROM SHIP-TO ADDRESS) :

ZIP / ZONE :

COUNTRY :

* CARD # :

* PHONE # :

* EXPIRES :

* LAST 3 DIGITS ON SIGNATURE STRIP (BACK OF CARD) :

* SIGNATURE / DATE:

QTY

TITLE

PRICE EACH (INCLUDES SHIPPING)

TOTAL

TOTAL ORDER