Use this form to mail, fax, or telephone your order to:

John Myre
Safety Times
1265 Rogue River Ct.
Chesterfield, MO 63017

Phone: 636-733-2330
Fax: 636-733-2330

E-mail: sfttimes@swbell.net

YES, I want ____ copies at _____each (free shipping)	$
Prices for Live Safely in a Dangerous World       1 book                                           $12.00       2-4 books                                 $9.00 each        5-24 books                               $8.00 each       25-74 books                              $7.00 each       75-149 books                           $6.00 each   Free shipping Printing Your Own Book You may print your own version of the book for employees and clients. You may use your own cover. The licensing fee is $1,000. The royalty is $1.00 per book for the first 5,000 copies (minimum $1,000). Above 5,000 copies, the royalty is $.50 per copy. There would be additional charges to customize certain pages and headings, and to update some topics with current information. We can coordinate the printing and cover design. Note: Actual shipping charges apply to custom-printed versions.
Missouri customers add 7.325% sales tax	$
Free shipping by U.S. Post Office	No charge
TOTAL

Name	____________________________________
Dept. or Title	____________________________________
Employer	____________________________________
Address	____________________________________
City	____________________________________
State	___________ Zip __________________
Country	____________________________________
Phone	____________________________________
E-mail	____________________________________
PO# ($500 or more)	____________________________________
If you want an autographed copy, please specify the name(s) of the person(s), or autograph only	____________________________________

Method of Payment

Credit card number  ________________________ Expiration ______        Visa, MasterCard, American Express, and Discover accepted

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