Ordering the Book

Please type your order information into the appropriate fields below and then print this form from your computer.  Orders with check payments may be mailed to the adress noted below. (Sorry, we do not accept online payment at this time.)

 

Company Name:
Your Name:
Address:
Suite# / Room #:
City: State: Zip:
Phone: Fax:
E-Mail:
Website URL:
Number of Directories being Ordered:
NOTE: Special arrangements must be made to ship three (3) directories or more. Please contact our office to order more than two directories!

ORDER SUB-TOTAL:
SHIPPING & HANDLING: $3 .00
ORDER TOTAL:
(Please sign and date form where indicated prior to sending it to our offices!)


FAX completed form to:

(610) 853-6353

(OR)

MAIL completed form with check to:

Women's Yellow Pages
P.O. Box 1002
Havertown, PA 19083