**Please Refresh your browser and use a current Orderform dated 12-1-13
 
1) Ordering Information: ( Dated 12-1-13 )

Quantity:_________  I M A G E S of 66 :: Volume 1 ~~~~~~~ Price: $34.99 each = Total: $__________

Quantity:_________  I M A G E S of 66 :: Volume 2 ~~~~~~~ Price: $34.99 each = Total: $__________

Quantity:_________  EZ 66 GUIDE FOR TRAVELERS :: ~~~~~~~ Price: $24.99 each = Total: $__________

* All IMAGES of 66 Books will be autographed by the Author !!

2)  US Shipping and Handling:

United States: Media Mail Shipping and Handling for one book is $5.00*. $ _______

* If ordering two books the shipping and handling is $9.00. $_______ 

* If ordering three books the shipping and handling is $12.00. $_______ 

* If ordering four or more books, please contact us for a shipping quote. 

3) Ohio Sales Tax: * If your order is being shipped to the state of Ohio, please add 6.75%. $________

4) Shipping Insurance: USPS Insurance is $2.80 for up to $50, $3.50 up to $100, or $4.00 up to $150. $_________

5) Total of your order with Shipping and Handling, Ohio Sales Tax and optional Insurance. $_________

6) Sold to Shipping Information: Phone#:(_____)______________Email:___________________________  

Name:_______________________________Address:____________________________Suite/Apt:_______

City:____________________________________State:__________________ ZIP + 4: _________-_______

7) Ship to: (If different then Sold to or if purchased as a Gift):  

Name:_______________________________Address:____________________________Suite/Apt:_______

City:____________________________________State:__________________ ZIP + 4: _________-_______

Book orders may be made by using US Mail for Money Orders & Checks, or Credit Card or Paypal online payments.

8) US Mail Ordering Instructions: Complete this form and send it along with your payment to:

DAVID WICKLINE  ~~ P.O. Box 1995 ~~ Westerville, Ohio ~~ 43086-1995 
Money Orders, Paypal and Credit Card ship within two days :: Personal Checks, delay shipping by 10 days

9) Paypal Ordering Instructions: Pay immediately using Paypal by sending your payment to account: cedar100@aol.com

11) Credit Card Ordering Instructions: MasterCard or Visa ONLY. MasterCard____ Visa____ Card Number:_____________________________

Expiration Date:_______ CVV Number _____  Name on card: ____________________________ Signature:______________________________

** International payments must be made by an International Money Order in US Dollars. It must have a nine-digit routing number and
be drawn on a US Bank. We will accept cash, in US Dollars, if International Money Orders are not available in your country. We also
accept Money Transfers from Western Union or Travelers Express. If you need any help with money transfers, or have any general
questions about ordering, please contact us at: cedar100@aol.com for the proper shipping amount for your International order
BEFORE sending any payment. Thank you very much for your Route 66 Merchandise purchase!!