| Print this form and fill out all items and send in. | ||
| Name: | ||
| Company: | ||
| Address: | ||
| City: | ||
| State: | ||
| Zip: | ||
| TEL: | ||
| FAX: | ||
| email: | ||
| Website: | ||
| Order Code: | Course Description or Item Description | Sale Price |
| $ | ||
| $ | ||
| $ | ||
| $ | ||
| $ | ||
| $ | ||
| $ | ||
| SUB TOTAL: | $ | |
| CA Residents add 775% Tax (Multiply subtotal X .0775): | $ | |
| Shipping ($2.00 for 1 item, +$1.00 for each additional item): | $ | |
| GRAND TOTAL: | $ | |
| Signature: X:____________________________________ | Date:___/___/___ | |
| Refund Policy: Sorry no refunds on Books, Tapes, | Please allow | |
| Videos or Courses due to Copyright Laws. | 3 to 7 days for | |
| Exchange on Defective product only. | shipping time. | |
| To order: Mail Check or Money order payable to: | Overnight or | |
| PEBBER BROWN | 2-day shipping | |
| 112 Harvard Ave · PMB #293 | is available | |
| Claremont, CA 91711 (909) 399-3104 | upon request. |