Please fill out this form, then fax or mail it as desired.
CONTACT INFORMATION
___________________________________________________
Your Name (as it appears on your credit card)
___________________________________________________
Your email (for shipping notification)
___________________________________________________
Your phone (required)
SHIPPING INFORMATION
___________________________________________________
Address
___________________________________________________
City, State, Zip
BILLING INFORMATION (if different from shipping)
___________________________________________________
Address
___________________________________________________
City, State, Zip
PAYMENT OPTIONS (Please check one)
Check/Money Order _________
Credit Card: ________
We accept only: Mastercard | Visa | American Express
___________________________________________________
Credit Card#
___________________________________________________
Expiration date:
___________________________________________________
3 Digit Security # (back of your card); 4 digit on the front of AmeEx.
COMMENTS (if any)
CALENDAR ORDER & PAYMENT
(11.99$ per calendar; Shipping is $3.55 on the 1st calendar; please add $2 for each additional calendar.)
| # OF CALENDARS: |
________________________ |
| SHIPPING: |
________________________ |
| TOTAL AMOUNT DUE: |
________________________ |
Remember, quantities are not guaranteed and your credit card will NOT be billed until we ship your order.
Three Convenient Ways to Order:
Contact Kristie Mitrikov
1. Fax orders: 407-571-4847
2. Phone Orders: please CALL 407-571-4846
3. Mail orders: please send your check/money order and completed
order form to:
2006 FISHING CALENDAR
c/o Kristie Mitrikov
World Publications, LLC
460 N. Orlando Avenue.
Suite 200
Winter Park, FL 32789