|
|
WANT Publishing Co. Graybar Bldg. - Grand Central 420 Lexington Ave., Suite 300 Return to NationsCourts.com New York, NY 10170 |
(212) 687-3774
(voice) (212) 687-3779 (fax) rwant@NationsCourts.com www.NationsCourts.com |
Order Form - Nation's
Courts Directory 2012
Please print out form; fill in information
below and return to us by postal mail or fax (212-687-3779).
Please enter my order for ____ copy(ies) of 2012 Edition of Nation's Courts Directory
@ $75.00/copy (plus one-time shipping/handling of $4.95, and NY
sales tax if applicable).
| [ ] Please enter Standing Order. |
Method of Payment:
|
[ ]
Payment Enclosed (Make check payable to WANT Publishing Co.)
[ ] Bill Me / Organization [ ] Please Charge My Credit Card: [ ] American Express [ ] MasterCard [
] Visa * Full Refund on Returns within 30 days
of receipt * Credit Card
Number______________________________________________Exp.
Date_________________ |
Address Information:
| Name_______________________________________________________________________________
Organization_________________________________________________________________________ Address1____________________________________________________________________________ City/State/Zip_________________________________________________________________________ |
E-Mail Address:__________________________________________________________
(For contact purposes only;
not disclosed to any third parties)