Order Form

SAVE MONEY! USE THIS SPECIAL DISCOUNT ORDER FORM
To place an order, print out this form. Fill in and mail with your payment to:
THE BLACK SCHOLAR,
P.O. Box 22869,
Oakland, CA 94609

ITEM PRICE QUANTITY TOTALCOST
One (1) Year Individual Subscription (Domestic) $30.00/yr.    
One (1) Year Individual Subscription (Foreign) $45.00/yr.    
One (1) Year Institutional Subscription (Domestic) $120.00/yr.    
One (1) Year Institutional Subscription (Foreign) $145.00/yr.    
Cowboy Amok $5.00 (Reg. $7 value)    
Straight Ahead $15.00 (Reg. $30 value)    
 
Recent & Back Issues - Single copy $6.00; Individual Buyers Only
Institutional Back Issues - $30.00 each  -- Please list your order below
 
Quantity Vol.# Issue # Title Date  
           
           
           
           
           
Please use additional sheet it needed Subtotal  
Add 15% for shipping & handling (except for subscriptions)  
TOTAL ENCLOSED  
Payment Method:check or money order enclosed;
                              Or charge my VISA card MASTERCARD AMERICAN EXPRESS
Account Number:                                                                               Exp. Date:
Signature:
Name:
Address:
City:                                                                      State:                                         Zip: