• Lakeside Publishing Company, LLC Order Form

  • Print out this form for easy mailing,
    or hit "submit" to order by email.
    You may also FAX your order to: 847-491-0459

MAIL TO:
Lakeside Publishing Company, LLC
990 Grove St., Suite 400
Evanston, IL 60201-6510
Business Office: 847-491-6440

Gift #1

Name:

Street:  City:    State:    ZIP:

Gift #2

Name:

Street:  City:    State:    ZIP:

Gift #3

Name:

Street:  City:   State:    ZIP:

BILLING INFORMATION

Name:

Street:   City:   State:   ZIP:

Email Address: required


Send a subscription to the above address. (Or renew for a year.)

PAYMENT INFORMATION

THIS IS A SECURE SITE

VISA

Mastercard

Credit Card # (Visa/MC only)

Exp. Date

Signature (exactly as on card).

Bill Me Later (U.S. Only)
*Canada and foreign: payment must be included with order,
payable in US funds.
Orders may also be Faxed to: 847-491-0459