FMSF Article Order Form Article Mail Order Form Name: Address:

---
Master Index Current Directory Index Go to SkepticTank Go to Human Rights activist Keith Henson Go to Scientology cult

Skeptic Tank!

FMSF Article Order Form Article Mail Order Form Name: ________________________________________________________________ Address: _____________________________________________________________ ______________________________________________________________________ City State Zip Telephone: (_______)________________________ * MAIL the completed form with payment to: FMS Foundation, 3401 Market ST, Suite 130, Philadelphia, PA 19104-3315 Please allow two weeks for delivery * FAX your order to (215) 287-1917. Fax orders cannot be processed without credit card information. * SHIP via FedEx:___overnight___2-day delivery. Please provide FedEx Account Number and/or Credit Card number in space provided below. * FMSF is not able to accept telephone or e-mail orders. METHOD OF PAYMENT: (Minimum order $25 for credit cards) ___VISA: Card: #________-________-________-________ exp. date ___/___ ___MASTER CARD: #________-________-________-________ exp. date ___/___ ___Check or Money Order: Payable to FMS FOUNDATION in U.S. dollars. ___FedEx ACCOUNT #: ______________________________ ********************************************************************** Instructions: Complete the table below, including both item number and author. For overseas airmail add $3 for Europe; $5 for Asia/Africa, Pacific Quantity Item no. Author Item price Item total | | | | ________|_________|____________________________|__________|___________ | | | | ________|_________|____________________________|__________|___________ | | | | ________|_________|____________________________|__________|___________ | | | | ________|_________|____________________________|__________|___________ | | | | ________|_________|____________________________|__________|___________ | | | | ________|_________|____________________________|__________|___________ | | | | ________|_________|____________________________|__________|___________ | | | | ________|_________|____________________________|__________|___________ | | | | ________|_________|____________________________|__________|___________ ___For_Office_Use_Only___ | | | Article sub-total: |___________ | Check#:________________ | | | | Overseas Postage: |___________ | Amount:________________ | | | | Total Amount Due: |___________ |_Date:___________________|

---

E-Mail Fredric L. Rice / The Skeptic Tank