Order Section (PLEASE PRINT):
Name : ______________________________________________
Address: ______________________________________________
______________________________________________
City : ______________________________________________
State : ______________________________________________ (or province)
Zip : ______________________________________________ (or postal code/country)
Change of Address? ___ Yes ___ No ___ First Order Signed to Whom (for HERC members only unless otherwise specified!):
Quantity ____ Title ______________________________ Amount: ________
Quantity ____ Title ______________________________ Amount: ________
Quantity ____ Title ______________________________ Amount: ________
Quantity ____ Title ______________________________ Amount: ________
Quantity ____ Title ______________________________ Amount: ________
Quantity ____ Title ______________________________ Amount: ________
Quantity ____ Title ______________________________ Amount: ________
Quantity ____ Title ______________________________ Amount: ________
Quantity ____ Title ______________________________ Amount: ________
Quantity ____ Title ______________________________ Amount: ________
Postage:$________
If ordering the ESSENTIAL ELLISON add 2.00 (it's heavy) $________
CA Residents please add 8.25% sales tax TAX:$________
TOTAL:$________
Please make checks (US FUNDS ONLY) payable to:
THE KILIMANJARO CORPORATION
Send to: The Harlan Ellison Recording Collection/BOOK SALES
Post Office Box 55548
Sherman Oaks, CA 91413 USA
US Postage: US: 1-3 items $5.00, 4 or more items $6.00, 1 Paperback/Mousepad $2.00
Canada: $3.00 per Hardcover/CD-ROM/Audio, $2.00 per Paperback/Mousepad
Overseas: $4.00 per Hardcover/CD-ROM/AUDIO, $2.00 per Paperback