Order Form - from Denis Kitchen Publishing Co., LLC

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

Mail to the attention of STACEY KITCHEN . . . . . . . . . . . . . . . . . . . . Phone (413) 259-1627   /   Email   orders@deniskitchen.com

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): __________

Make $$ Payable to: Denis Kitchen Publishing • P. O. Box 2250 • Amherst, Massachusetts 01004 Mail to the attention of STACEY KITCHEN . . . . . . . . . . . . . . . . . . . . Phone (413) 259-1627 / Email orders@deniskitchen.com
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): __________