Order from publisher: (856) 733-0147

Sorry. No sales outside the continental United States
  
Email us at: info@lounginglizardpublishing.com

Lounging Lizard Publishing    Print this form to order publications by mail.

Lounging Lizard Publishing, LLC
1614 42nd Street
Pennsauken, NJ - 08110-3607

Contact us: (856) 733-0147

Email us at: info@lounginglizardpublishing.com

To order, please fill out the information below and mail with a check or money order (US funds) for the total amount.

Sorry. No sales outside the continental United States.

Please allow 7-10 days for delivery.

QuantityUSA
___ War Torn Hearts
$ 19.99
    
Sub-Total$ ___________
New Jersey Sales Tax $ ___________
Shipping & Handling$ 8.00
Total$ ___________

=========================================================================


Billing Address:



Name_____________________________________________________________________



Company__________________________________________________________________
                


Address__________________________________________________________________



City ________________________________ State ______________ Zip __________
                


Telephone ______________________________e-mail___________________________
 
=========================================================================






=========================================================================


Shipping Address (if different from billing address):



Name_____________________________________________________________________



Company__________________________________________________________________
                


Address__________________________________________________________________



City ________________________________ State ______________ Zip __________
                


Telephone ______________________________e-mail___________________________
 
=========================================================================