Order_Form_pearson.htm

Name

Street Address

City, State. Zip

Phone

E-Mail Address

Credit Card Number and Ex. Date Type MC, AX, VISA

Quantity	Item Number	Description	Price Each	Total Price




			Sub Total
		Personal Check O.K.	California Sales Tax 71/4%
		Actual Shipping Charges Added $5.95 S+H Minimum	Shipping
			Total
		You may Print this Form and Mail it with your check or Click "Submit" with Card Number	All information printed on this form will NOT be given or sold to another person or company. AND THAT'S THE TRUTH!