Order Form

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If your preference is to not use credit cards over the Internet, then print this form and include a check or your Visa/Mastercard number for payment.

    Please note that Visa/MC transactions will appear on your bill as coming from "Good Vibrations"

     Print a copy of this page and send it with your  check or  money order or VC/Mastercard number to:
   

Mark Stanton Welch
PO Box 1331
Cambria, CA 93428
Ph/Fax: 805.927.2416

Please note: Delivery of cd order may take up to 10 days due to
Mark's travel schedule. Thank you for your patience.

Please note that this form will not calculate totals and shipping.
You must fill in those amounts for them to appear on the printed form.

Please provide the following shipping information:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
 Phone
FAX
E-mail

Please provide the following ordering information:

QTY DESCRIPTION

AMOUNT

  

Subtotal

Less Discount

Shipping and Handling

Total

4-5 items take $2.00 off sub total
6-8 items take $4.00 off sub-total
9-12 items take $6.00 off sub-total
13+ contact for discount
Shipping and Handling add $2.00 per item
 
VISA Number    Exp. Date
Mastercard Number    Exp. Date

Signature

 

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Copyright © 2001 Mark Stanton Welch. All rights reserved.
Revised: December 14, 2007