R O B E R T  C O L L I E R  P U B L I C A T I O N S,  I N C.


Please print as many copies of this order form as you need. Fill it out
and send, with appropriate payment, to:

Robert Collier Publications
2716 Joseph Ave. #1
Campbell, CA 95008
USA
Phone: +1(408)540-6573
Fax: +1(408)559.1536


Your name:        ___________________________________________

Address:          ___________________________________________

                  ___________________________________________

City, State, Zip: ___________________________________________

Ship to:          ___________________________________________
(if different)
                  ___________________________________________

Telephone number: (______) ______ - ________

E-mail address:   ___________________________________________

Please make the appropriate selection:

_____ I am paying by enclosed check.  Amount enclosed: $ ____________

_____ I am paying by credit card. Card number: _______________________________

                              Expiration date: ________________

Book Title (& Edition, if necessary)          Individual   Number   Subtotal
                                                 cost

____________________________________________ $ _________ x _____ = $ _________

____________________________________________ $ _________ x _____ = $ _________

____________________________________________ $ _________ x _____ = $ _________

____________________________________________ $ _________ x _____ = $ _________

____________________________________________ $ _________ x _____ = $ _________

                                                         Shipping: $ _________

       Washington residents, please add 8.3% sales tax   Subtotal: $ _________ 
                                                           
                                                            Total: $ _________