Order Books from Prairie Lights
	You may use this form to order books with a credit card. Your order goes through our secure server which encrypts the information keeping it protected and private. If you would prefer to pay with a check, please write "will pay by check" in the space provided for the credit card number. When we have your order ready, we'll send you an e-mail with an exact quote for your check. We will send out your order when we receive your check. If you are not comfortable sending credit card information over the Internet, please write "provide by phone" in the space for the credit card number and call us at 1-800-295-BOOK.
	You have selected:
	Enter additional titles to be ordered here:
	ISBN	Title Author		hardback paperback
	ISBN	Title Author		hardback paperback
	ISBN	Title Author		hardback paperback
	ISBN	Title Author		hardback paperback
	Don't know specific information? Tell us as much as you know here and we will contact you to confirm your selection.
	I will pick up my order in the store.
	daytime phone		e-mail
	Please ship my order to:
	Shipping Information
	First Name		Last Name
	Street Address 1
	Street Address 2
	City			State
	Country	Zip Code	daytime phone
	e-mail
	Billing Information
	First Name		Last Name
	Street Address 1
	Street Address 2
	City			State
	Country	Zip Code
	Payment Information
	Mastercard	Visa	Discover	None
	Credit Card Number			Expiration Date
	Merchandise will be shipped UPS Ground. Add $4.00 for the first book and $1.00 for each book thereafter. If you would like your merchandise shipped another way please contact us at 1-800-295-BOOK Returns are for store credit only.
info@prairielights.com