FergNus Services' Order Form

If you are not using Credit Card and/or Online Payment
Please print out this form and send it in with
your check or money order (U.S. Funds)

FIRST NAME:

LAST NAME:

ADDRESS:

CITY\STATE\ZIP:

PHONE:

E-MAIL:

Product #	Description	QTY	Unit Price	Total Price











	Please mail to: FergNus Services P.O. Box 250, Dept. WP Richville, NY 13681
			SUBTOTAL
			(NY only) TAX*
			S & H
			TOTAL

*New York Residents please add your local Sales Tax Rate.

SUBTOTAL	SHIPPING
1 to 2 Books	$4.80
3 to 12 Books	$10.95
12 to 20	$12.95
30 & OVER	Call for USPS or FedEX Ground Rates