Judson Rosebush Company - Wildside Press Order Form

Ordering

Wildside Press CD-ROMs

To order: For immediate delivery, orders may be placed by phone, fax, or e-mail using your check or credit card. Or print out this form and mail it to the address below.

  Judson Rosebush Company Inc.
   154 West 57th Street Studio 826
   New York, NY 10019

   Telephone: 212-581-3000
   Fax: 212-757-8283
   E-mail: info@rosebush.com

Your Shipping Address:
   Name     _____________________________________________________
   Address  _____________________________________________________
   Address  _____________________________________________________
   City     __________________________________State _____________
   Zip Code _______________

   Telephone _______________________________  (to track orders)
   E-mail    _______________________________

   ___ Animals                                 $49.95   ______
   ___ Castles & Cathedral                     $49.95   ______
   ___ Designs, Dropcaps & Borders             $49.95   ______
   ___ Arms, Armor & Battles                   $49.95   ______
   ___ People and Protraits                    $49.95   ______

                  NY Residents add sales tax of 8.25%   ______

                                  Shipping & Handling    $5.00

                                                TOTAL   ______

   ___ Buy any 3 disks and pick 1 disk for free!  ____________

  __  Payment by check or money order made out to 
          Judson Rosebush Company Inc. is enclosed.

  __  Please charge my:  ___  MasterCard  ___  Visa
  
           Card  # ___________________________  Expiration  ___/___

           I agree to abide by the rules and conditions set forth in my
                cardholders agreement.


           Signature  ________________________________________

Thank you for your order!