b'ORDER FORM Federal Tax ID: 13-3044945 4919 Route 22PO Box 56Amenia, NY 12501-0056Published & Distributed by Grey House PublishingPhone: (845) 373-6369Fax: (518) 789-0556 Published & Distributed by Grey House Publishing www.hwwilsoninprint.comcsr@hwwilsoninprint.com Date PO#Sales Representative Bill toShip toInstitutionInstitutionAddressAddress City State ZipCityState Zip Tel: (____) Fax: (____)AttentionE-mailSpecial Instructions:HOLD FOR P.O. NUMBER: YESNODOES YOUR LIBRARY WANT PROCESSING:YESNO Discount schedule for Libraries & Institutions2-5 TITLES:5% 6 OR MORE:10% Qty TitleISBNList PriceTotal Subtotal: Discount: Shipping:$12.50 Authorization:Order Total: H.W. Wilson4919 Route 22, PO Box 56Amenia, NY 12501Phone: (844) 630-6369Fax: (518) 789-0556www.hwwilsoninprint.com'