Mail In Order Form

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0><script type="text/javascript" src="http://hb.lycos.com/hb.js"></script> <script type="text/javascript" src="http://ratings.lycos.com/ratings/lycosRating.js.php"></script> <script type="text/javascript"><![CDATA[//><!]]></script> <script type="text/javascript" src="http://scripts.lycos.com/catman/init.js"></script> <script type="text/javascript" src="http://members.tripod.com/adm/ad/code-start.js"></script> <script type="text/javascript" src="http://members.tripod.com/adm/ad/code-middle.js"></script> <script type="text/javascript" src="http://members.tripod.com/adm/ad/code-end.js"></script> <noscript> <img src="http://members.tripod.com/adm/img/common/ot_noscript.gif?rand=794248" alt="" width="1" height="1" />  <iframe frameborder="0" marginwidth="0" marginheight="0" scrolling="no" width="728" height="90" src="http://ad.yieldmanager.com/st?ad_type=iframe&ad_size=728x90&section=209094"></iframe>  </noscript> <table cellpadding=0 cellspacing=0 border=0 height="100%"><tr> <td valign="top" width=168 BGCOLOR="#000000" TEXT="#F7F7FF" background="102a11c3.gif"> <div> <A HREF="index.htm" TARGET="_top" TITLE="JAMAS"><U>Home</U></A></div> <bR> <div> <A HREF="id17.htm" TARGET="_top" TITLE="ABOUT JAMAS BOOKS"><U>About Jama's Books</U></A></div> <bR> <div> <A HREF="id18.htm" TARGET="_top" TITLE="JAMAS FUN LIBRARY"><U>Library</U></A></div> <bR> <div> <A HREF="id19.htm" TARGET="_top" TITLE="ORDERING AND PRICES"><U>Ordering and Prices</U></A></div> <bR> <div> <A HREF="id20.htm" TARGET="_top" TITLE="CONTACTING JAMA"><U>Contacting Jama</U></A></div> <bR> <div> <A HREF="id21.htm" TARGET="_top" TITLE=" SPECIALS"><U>Specials</U></A></div> <bR> <bR> <bR> </td> <td valign="top" BGCOLOR="#000000" TEXT="#F7F7FF"> <div> <FONT SIZE="5" COLOR="#BF0000" FACE="Arial" ><B>JAMA'S</b><B> BOOKS</b></FONT><FONT SIZE="1" COLOR="#FFCC99" FACE="Arial" >  </FONT>   |   <A HREF="index.htm" TARGET="_top" TITLE="JAMAS"><U><B>home</b></U></A></div> <div> <A HREF="id18.htm" TARGET="_top" TITLE="JAMAS FUN LIBRARY"><U>JAMA'S FUN LIBRARY</U></A>   |   <A HREF="id19.htm" TARGET="_top" TITLE="ORDERING AND PRICES"><U>ORDERING AND PRICES</U></A>   |   <A HREF="id20.htm" TARGET="_top" TITLE="CONTACTING JAMA"><U>CONTACTING JAMA</U></A>   |   <A HREF="id21.htm" TARGET="_top" TITLE=" SPECIALS"><U> SPECIALS</U></A>   |   <B>Mail In Order Form</b>   |   <A HREF="id17.htm" TARGET="_top" TITLE="ABOUT JAMAS BOOKS"><U>ABOUT JAMA'S BOOKS</U></A></div> <DIV ALIGN="LEFT"></DIV> <div> <IMG SRC="0ee1e080.gif" border=0 width="542" height="8" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <div> Mail In Order Form</div> <div> For mail in orders, print this page and fill in information.  Please print clearly.  Enclose check or money order for total amount due to Jama's Books, P.O. Box 35862, Phoenix, AZ 85069-5862.</div> <bR> <div> <B>BOOK TITLE & NO.:  ___________________________________________                                                  </b></div> <bR> <div> <B>CHILD'S FIRST NAME: </b>________________________________</div> <bR> <div> <B>MIDDLE NAME:  _______________________________________________</b></div> <div>        (OPTIONAL)</div> <bR> <div> <B>LAST NAME:  _________________________________________________</b></div> <bR> <div> <B>NICKNAME</b> (OPTIONAL):  _______________________________________</div> <bR> <div> <B>BOY         GIRL</b>  (PLEASE CIRCLE)</div> <bR> <div> <B>AGE:  ______</b></div> <bR> <div> <B>HOMETOWN:  _________________________________________________</b></div> <bR> <div> <B>FRIEND'S NAME</b> (UP TO THREE FRIENDS):  ____________________, ____________________, ____________________ </div> <bR> <div> <B>NAME OF PERSON(S) GIVING BOOK:  _____________________________________</b></div> <bR> <div> <B>PLEASE CHECK ONE:    FROM ______WITH LOVE FROM______</b></div> <bR> <div> <B>DATE TO BE PUBLISHED IN BOOK:  ________________________</b></div> <bR> <bR> <div> <I><B>FOR PERSONALIZED BABY BOOKS PLEASE PROVIDE THE FOLLOWING ADDITIONAL INFORMATION</b></I></div> <bR> <div> <I><B>       PLEASE CIRCLE VERSION:</b></I></div> <bR> <div> <B>BABY CREATE-A-BOOK</b></div> <bR> <div> <I>       STANDARD,    CHRISTIAN,    SINGLE PARENT,    ADOPTED,    ADOPTED SINGLE PARENT,    PREMIE,    </I><I>TWINS</I></div> <bR> <div> <B>SPECIAL DELIVERY</b></div> <bR> <div> <I><B>       </b></I><I>STANDARD,     SINGLE PARENT</I></div> <bR> <div> <B>DATE OF BIRTH _______________, TIME____________, WEIGHT___________, LENGTH___________</b></div> <bR> <div> <B>HOSPITAL___________________________,  DOCTOR ______________________________ </b></div> <bR> <div> <B>MOTHER'S NAME________________________,    FATHER'S NAME____________________________</b></div> <bR> <bR> <DIV ALIGN="LEFT"></DIV> <div> <B>WHO TO CONTACT</b></div> <bR> <div> <B>NAME:  ___________________________________________</b></div> <bR> <div> <B>STREET ADDRESS: ___________________________________________________</b></div> <bR> <div> <B>CITY, STATE, ZIP: ___________________________________________________________</b></div> <bR> <div> <B>PHONE NUMBER OF CONTACT: ____________________________</b></div> <div>        (will only contact if there is a question with order and will never be put on a solicitor's list)</div> <bR> <bR> <div> <I><B>SHIPPING ADDRESS IF DIFFERENT THAN ABOVE</b></I></div> <bR> <bR> <div> <B>NAME: ____________________________________________</b></div> <bR> <div> <B>STREET ADDRESS: ____________________________________________________</b></div> <bR> <div> <B>CITY, STATE, ZIP: ________________________________________________</b></div> <bR> <bR> <bR> <div> <B> <TABLE BORDER="1" CELLPADDING="2" CELLSPACING="1" WIDTH="525" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" ALIGN="BOTTOM" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 19 ><NOBR><div> <B>Regular books  $ 10.00</b></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="71"><div> $</div> </tD> <tD VALIGN=TOP><NOBR><div> <B>Specials (write amount)</b></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="71"><div> $</div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="181"><div> <B>S/H  $ 2.00 ea.</b></div> </tD> <tD VALIGN=TOP WIDTH="71"><div> $</div> </tD> <tD VALIGN=TOP WIDTH="171"><div> <B>S/H  $ 2.00 ea.</b></div> </tD> <tD VALIGN=TOP WIDTH="71"><div> $</div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="181"><div> <B>Total enclosed</b></div> </tD> <tD VALIGN=TOP WIDTH="71"><div> $</div> </tD> <tD VALIGN=TOP WIDTH="171"><div> <B>Total enclosed</b></div> </tD> <tD VALIGN=TOP WIDTH="71"><div> $</div> </tD> </tR> </TABLE></b></div> <bR> <bR> <bR> <div> <A HREF="id19.htm" TARGET="_top" TITLE="ORDERING AND PRICES"><U><B><IMG SRC="0b669210.gif" border=0 width="105" height="33" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></b></U></A></div> <bR> <div> <A HREF="id17.htm" TARGET="_top" TITLE="ABOUT JAMAS BOOKS"><U><B><IMG SRC="10f69210.gif" border=0 width="105" height="33" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></b></U></A></div> <bR> <bR> </td> </tr></table></body>