DEA Watch Book Listing Application Form
Website: deawatch.com | Email: deawatch@americanwarlibrary.com | Landline/Fax: 1-562-422-4100

Email, Print/Fax or Phone this Form
(Fax and Phone number below)

Book Listing Application Form
The Book Listing fee is $65.00 per title

Title of Book

Author's name(s)

Website address where this Book can be purchased

Website address where a picture of the bookcover can be downloaded

I will...
Mail a check (address below)
Mail a money order (address below)
Pay by charge/debit card below

My Name as it appears on my charge or check debit card:

My card's billing/statement street address (city and state not necessary)

My zip code

My phone number

My email address

My card will be charged $65.00 total. I would like to pay by...
    Check Debit
    Visa
    MasterCard
    Discover
    Diners Club
    American Express
    Carte Blanche

My card number is...
My card's Expiration Date is
My card's CVV code is

Print a copy for yourself before clicking the bar below..

Please lower your mouse and wait a moment for your application to be sent.
Phone/Fax (562) 422-4100 (10am to 4pm, PST, Mon thru Fri)

DEA Watch
817 East Via Carmelitos Ste 319 - Long Beach CA 90805-7549