PLEASE REMOVE FROM CATALOG, COMPLETE AND RETURN. PAGE 1 OF 6 8608 University Grn Customer Service: (608) 836-1945 PO Box 620470 email:
[email protected] AUG 21 Middleton, WI Web: www.WestfieldComics.com DUE DATE: August 26, 2021 53562-0470 FAX: (608) 836-6950 (Please call customer service to confirm transmission.) ACCOUNT Orders cannot be processed without Shipment ADD Columns 1-18 for SUBTOTAL Frequency: NUMBER an account number and name Enter Coupon Code Once a Month - Redeem Coupon Savings (see instructions) Name Twice a Month $7.50 additional charge WI Residents ADD 5% Sales Tax + Weekly ADD Shipping & Handling Address $22.50 additional charge (see chart in step 6 of instructions) + Shipping APO/FPO orders add postage + Preference: (Use table in instructions) City-State-Zip Release Paper Order Form Processing Fee + $ $7.50 additional charge (see instructions) 1.0 0 Telephone ( ) Email per extra shipment ADD Debit (see account balance on label) + Hold (final shipment until complete) SUBTRACT Credit This address is for (check all that apply): (see account balance on label) - See step 6 & 7 of instructions Shipments Mailings Credit Card Billing This is an address change for more specific shipping information. GRAND TOTAL How to read your mailing label: BALANCE DATE ACCOUNT BALANCE Credit card number: ACCOUNT NUMBER DEBIT (D) / CREDIT (C) Card Security Code: Expires: (what is this? See order form instructions) 12345*10/23/05*0.23C MM YY Please make sure to note your account number and name on the order form. Signature: SAMPLENot doing so may result in a delay, or the inability to process your order.