MAIL-IN OR FAX ORDER FORM


THIS FORM IS FOR MAIL-IN OR FAX ORDERS ONLY.
Please use the On-Line Order Form if you are ordering on-line.

Fill out this form, print it out and mail it to:

AGENT WITH STYLE
9821 HAWKINS CREAMERY RD.
DAMASCUS, MD 20872-2339  USA

or fax it to:   (859) 406-0096

Shipping address:

Name  
Address 1 
Address 2 
City  
State/Province  
Zip/Postal Code  
Country  
E-Mail  
Telephone   (Required for international orders)

If purchased as a gift:

Your Name  
Your E-mail  
Your Telephone  

If redeeming a gift certificate:

Certificate number  
Certificate amount  

Comments or suggestions




Payment information:
All forms of payment must be in U.S. dollars.

IF YOU LIVE IN MARYLAND, USA, PLEASE ADD 6% SALES TAX TO THE TOTAL.

Type of payment   
Amount enclosed 

If paying by Paypal, send your payment to zines@agentwithstyle.com   

E-mail attached to Paypal account 
Name on Paypal account 

IF WE CANNOT MATCH YOUR PAYMENT WITH YOUR ORDER THROUGH
A NAME OR E-MAIL ADDRESS, YOUR ORDER WILL BE PUT ON HOLD.

If paying by credit card, fill in the blanks below.

Name on the card 
Card Number       
Expiration Date     
Card verification      
      number             
    (The last 3 digits on the
    Signature Panel on
    the back of the card)
   card verifcation number

From your billing address, we need the following
information to run your credit card:

Street address and  
Zip/Postal Code



IF A ZINE IS AVAILBLE IN GEN AND SLASH VERSIONS,
PLEASE INDICATE WHICH YOU WOULD LIKE TO RECEIVE.

PLEASE INCLUDE ISSUE NUMBER OF ZINE, SO THERE WILL
BE NO DELAY IN FILLING YOUR ORDER WHILE WE CONTACT
YOU TO FIND OUT WHICH ONE YOU WANT.

1st item:
Fandom  
Title      
Price      

2nd item:
Fandom  
Title      
Price      

3rd item:
Fandom  
Title      
Price      

4th item:
Fandom  
Title      
Price      

5th item:
Fandom  
Title      
Price      

6th item:
Fandom  
Title      
Price      

7th item:
Fandom  
Title      
Price      

8th item:
Fandom  
Title      
Price      

9th item:
Fandom  
Title      
Price      

10th item:
Fandom  
Title      
Price      


For domestic orders, please allow 2 to 4 weeks for delivery. 
For overseas orders, please allow 4 to 6 weeks for delivery.