Dealer/Retailer Order Form

Please use the form below to order The Standerd for your store.

If you have any questions or special requests, please email us at: dealers@thestanderdquarterly.com

Company
Company Name
Store/Shop Name
Contact
First Name
Last Name
Phone (Office)
Phone (Other)
Email
Shipping
Address (line 1)
Address (line 2)
City
State
Zip Code
Country
Order Details
Issues Ordered Now (check all that apply)	Issue 1.1 Issue 1.2 Issue 1.3 Issue 1.4 (April 1) (July 1) (October 1) (January 1)
Quantity Each
Full-Year Deal
	As outlined in the 2007 Retailer Guide, all full-year (four issue) orders with a quantity of 50 or more will receive an additional 10% discount on the total order cost. All four issues must be ordered at the same time. Any orders that meet or exceed the above requirement will automatically receive the 10% discount.
	Full-Year Order: My order above has at least 50 Copies of each of 4 issues. Take 10% off my total order cost.
Comments
Include any additional information about your order here.