Make $$ Payable to:     Denis Kitchen Publishing          P. O. Box 2250          Amherst, Massachusetts 01004

Mail to the attention of STACEY KITCHEN . . . . . . . . . . . . . . . . . . . . Phone (413) 259-1627 - Fax (413) 259-1812

Your Billing / Mailing Address:
  Name:  
  Street:  
  City, State, Zip Code:  
  Country:  
  Phone number:
 
  Your e-mail address to confirm shipment:      (we won't sell it or spam you)
 
Shipping Address (If different from Mailing Address):
  Name:  
  Street:  
  City, State, Zip:  
Items Ordered:
Item Number: Item Description: Quantity: Item Price: Total Price:
         
         
         
         
         
         
Subtotal: 
 
Sales Tax (Massachusetts only)      6.25%: 
 
(Email us for this info)       Shipping Charge: 
 
(leave blank unless you know the shipping charge)       Total: 
 

Credit Card Customers please give the following info:
Type of Card: Card Number Expiration Date: Name as it appears on the card:
 Visa or MasterCard
     
Card Code (the last 3 digits on the BACK of the card that are NOT on the front): __________

 
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