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
26 Beach Road
Belle Terre, NY 11777
USA
Phone: +1(631) 834-0934

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: $ ____________

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

____________________________________________ $ _________ x _____ = $ _________

____________________________________________ $ _________ x _____ = $ _________

____________________________________________ $ _________ x _____ = $ _________

____________________________________________ $ _________ x _____ = $ _________

____________________________________________ $ _________ x _____ = $ _________

                                                         Shipping: $ _________

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