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)	$25.00/yr. (Reg. $30 value)
One (1) Year Individual Subscription (Foreign)	$45.00/yr.
One (1) Year Institutional Subscription (Domestic)	$100.00/yr.
One (1) Year Institutional Subscription (Foreign)	$125.00/yr.
Cowboy Amok	$5.00 (Reg. $7 value)
Straight Ahead	$15.00 (Reg. $20 value)
Recent & Back Issues - Single copy $6.00; Individual Buyers Only Institutional Back Issues - $20.00 each  -- Please list your order below

Quantity

Vol. #

Issue #

Title

Date

Please use additional sheet if 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: