Printable Order Form

Contact Information: Product Slide Show!

Name:
Address:
City:
State/Province:	Zip/Postal Code:
Country:
Phone:
EMail:

Order Information: Bookmark Kit for 1¢ with an order (SubTotal of $30 or more)
Please select desired bookmark: [ ] #11 [ ] #12b [ ] #13 [ ] #14

Shipping & Handling Charges (based on Subtotal)

Subtotal                S/H
Up thru $25.00       $3.00
$25.01 to $35.00    $5.00
$35.01 to $50.00    $7.00
$50.01 and above   $9.00

Canada:
Please add $2.00 (U.S.)
to S/H shown at right.

Other Countries:
Please add $4.00 (U.S.)
to S/H shown at right.

Qty:	Catalog Kit # & Descripton	Price






Subtotal
Bookmark for a Penny ($30 or more subtotal)
Shipping & Handling (see table at left)
FL State residents add 7% Sales Tax
Grand Total

Card Holder Name:
Credit Card Number:
Expiration Date:
Cardholder Signature:
Form of Payment: (All Money in U.S. Dollars)	[ ] Check or Money Order (Please include payment)	[ ] Visa [ ] Master Card [ ] Amer Express