Order Form
1-800-776-0842 / FAX: 918-457-5843

Print out this form. Indicate the products you would like to receive.
Then Call us, Fax it, or Mail it to us. Be sure to include shipping & handling.

  • Name:_______________________________________________________
  • Address:_____________________________________________________
  • City:________________________________________________________
  • State:_________   Zip:___________    Telephone:___________________
  • e-mail: _____________________________

    What may we send to you?

    Product #            Product Name                                                                                  Cost:
    1. ________________________________________________________________________
    2. ________________________________________________________________________
    3. ________________________________________________________________________
    4. ________________________________________________________________________
    5. ________________________________________________________________________
    6. ________________________________________________________________________

    Total:___________                     

    Please include Shipping & Handling: $6 first item, $2 each additional item.
    OK residents add 4.5% Sales Tax. Overnight UPS and Priority Mail available.
    NOTE: Canadian & foreign orders require credit card or U.S. money order.
    Call 1-800-776-0842 or e-mail for shipping charges.     (vipublish@earthlink.net)

    How would you like to pay for them?
    Visa/Master Card number: __________________________ expiration date:_______________
    American Express number: __________________________ expiration date:_______________
    Money Order                                                      Purchase Order # ______________________

    We accept checks, money orders or credit card information. Thank you very much.

    Various Indian Peoples Publishing Co.
    PO Box 1540 Tahlequah, OK 74465

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