PRINTABLE FORM FOR
MAIL ORDERS ONLY

This form is intended to be used ONLY if you do not want to use our online ordering system. Print the form, fill it out, and mail it to us with your check, money order, or credit card information!

Mail To:
Plum Lick Publishing, Inc.
P. O. Box 68
North Middletown, KY USA 40357
Have questions? Call:
1-859-383-4366

Your Name: __________________________________
Billing Address: __________________________________
City: __________________________________
State: __________________________________
Zip: __________________________________
Shipping Address: __________________________________
City: __________________________________
State: __________________________________
Zip: __________________________________
Is this a BUSINESS or RESIDENTIAL address?____Business  ___Residential
Phone: __________________________________
Fax: __________________________________
Email: __________________________________
QTY: ISBN NUMBER: ITEM DESCRIPTION: UNIT PRICE: TOTAL:
  978-0-9755037-4-4 Outhouse Blues $14.95  
  0-9755037-3-1 Let There Be Light $22.00  
  0-9755037-2-3 A Journal for Lalie $22.00  
  0-9755037-1-5 Kentucky - A State of Mind $22.00  
  0-9632886-9-5 Follow The Storm: A Long Way Home $22.00  
  0-9632886-8-7 Rivers of Kentucky $22.00  
  0-9632886-3-6 A Conversation with Peter P. Pence $15.95  
  0-0632886-2-8 Peace At The Center $17.95  
  0-9632886-7-9 Home Sweet Kentucky $22.00  
  0-8131-9097-5 The Scourges of Heaven (soft cover) $19.95  
  0-9632886-4-4 The Quiet Kentuckians $22.00  
  0-9632886-6-0 The View From Plum Lick $22.00  
SUBTOTAL  
SALES TAX (6% sales tax for KY residents)  
SHIPPING & HANDLING:
$3.00 for the first book; $.50 for each additional book per order except where otherwise noted.		  
TOTAL  




I WOULD LIKE MY BOOK(S):

____ Signed by the Author(s) and dated only

____ Signed, dated and inscribed as follows:

_________________________________________________________

________________________________________________________________

U.S. Funds Only. Checks and Money Orders should be made payable to Plum Lick Publishing, Inc.
METHOD OF PAYMENT
 ___ Check/Money Order ___Visa ___ Mastercard

Name on Credit Card:____________________________________________________
Credit Card Number:________________________________Exp Date:_____________
Authorized Signature:____________________________________________________
All sales are subject to our Terms and Conditions:

Shipments FOB, from Paris, Kentucky shipped within two days unless instructed or otherwise noted.

Payment terms: Personal Checks, Money Orders or Credit Cards accepted. Prices and Terms are subject to change without prior notice.

IMPORTANT: Your signature on this order form serves as authorization for Plum Lick Publishing, Inc. to debit your credit card for the total amount of the order as set forth on this Order Form.