Fax/Mail Order Form for Mastercard, Visa or American Express Orders
Fax your order to: 202-986-9485 (Just print this form and fax it!)

Adler & Robin Books, Inc., Suite 317, 3000 Connecticut Avenue, N.W., Washington, DC 20008
Voice number for orders: 202-986-9275, Fax number for orders: 202-986-9485

Billing Name:___________________________________________________________________

Address:______________________________________________________________________

City:___________________________State:______________Zip:____________Country:_______

Day phone:___________________Evening phone:________________Email:__________________

Shipping address (if different from billing address):________________________________________

______________________________________________________________________________

Credit Card Number:____________________________________________Expiration:__________

Signature:_____________________________________________________

                        Book                                                 Quantity                            Price

Back to Main Page
How to Write a Book Proposal
Online Bookstore
Question about publishing? Send us an email.  
©Adler & Robin Books, Inc., http://www.adlerbooks.com