PRINTABLE ORDER FORM

You can use this simple form to order Bridge Over Bottled Water directly from me by mail. Just print it, fill it out, get a check or money order, and send it to me at the appropriate address. If you want to pay with a credit card by ordering online, please click here. Otherwise, print away! This should print as one page from most browsers. 

ALBUM COSTS
Copies of Bridge Over Bottled Water:______________________ 
Prices: 1 for $10; 2 for $18; 3 for $24; 4 for $30. THIS MEANS BUY 3, GET ONE FREE! 
Sub-Total: $____________ 

SHIPPING COSTS
U.S Priority Mail--up to 4 copies: $4.00 
For more than 4 copies OR 
Something faster than Priority Mail OR 
To ship somewhere other than the U.S. - Email me at ellen@ellenshapiro.com

GRAND TOTAL (album + shipping): $________
Please make out a check or money order, payable to Ellen Shapiro, for this amount. PLEASE PLEASE PLEASE DO NOT SEND CASH. It is always a bad idea to send cash through the mail, as it is easily stolen. 

YOUR INFO: Name:_____________________________________________ 

Address:_________________________________________________________ 

City:______________________________ State:_____ Zip Code:_____________ 

Phone Number:_____________________ Email:___________________________ 

MAILING LIST: I do not give out the addresses to ANYONE. They are for my use only. 
Please put me on your mailing list! I want more information!____ 
Don't! If you put me on your mailing list I will be very angry!____ 

SEND IT TO ME:
Ellen Shapiro, 602 Lake Street #1N Evanston, IL 60201 

Thank you very much for your order. I will email you when I receive your order.