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Print out and use this handy Order Form to order Books, Videos, and other items from Creekside Publishing House. DO NOT E-MAIL nor FAX this form to us as it is NOT a secure site.
Payment: We accept checks, money orders, and credit card transactions. Checks must clear bank first BEFORE order mail out. Money order type payments go out immediately. Credit Card orders go out immediately.
WARNING: Please DO NOT e-mail or fax Credit Card numbers to us. This website IS NOT encryption coded, therefore is not secure enough to be safe. Print out this form instead, fill it out, then mail it in via the regular postal system.
Order Date: _________________________
Name: _______________________________________
Mailing Address: ______________________________ City/State/Zip: _________________________________ Country:_____________________________
E-Mail and/or Phone #: __________________________
(if we have a question about your order and need to contact you.)
Method of Payment: (Please X one)
_____Check _____Money Order _____Credit Card order
Please make Checks/Money Orders out to: Creekside
Visa or MasterCard: (Please circle one) Card #________________________________________
Exp. Date: ____/____
Signature: _____________________________________
(Not valid unless signed)
Item(s) Ordering:
Postage: [Orders shipped regular US postal service]
WITHIN the United States: $4.95 first item, $3.50 each additional item.
OUTSIDE the United States: Please phone or email for exact quote.
KEY: Bk = Book CD = Compact Disc V = Video DVD = Digital Video Disc
Name of Item: Quantity: Price per Item: Subtotal: $ 1) # $ $ 2) # $ $ 3) # $ $ 4) # $ $ 5) # $ $ 6) # $ $ 7) # $ $ 8) # $ $ 9) # $ $ 10) # $ $ 11) # $ $ 12) # $ $ Total Postage: $
Grand Total: $
Mail Order Form to:
Creekside Publishing House
2512 Creekside Lane
North Bend Oregon 97459
Phone/Fax: (541) 267-5497
THANK YOU for your patronage!
Contents Copyrighted 2001 by Larry & Tosca Means.
Proud Veteran Supporter!
This page last updated: June 25, 2000
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