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Fax or Mail This Form: Cookbooks ordered: QUANTITY ($20 Each) ________ TOTAL $________ TAX 7% Florida Residents only $________ SHIPPING $ 4.00 TOTAL DUE $________
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CHECK NUMBER ENCLOSED:____________or: CREDIT CARD TYPE:_____________________ CREDIT CARD #_________________________ EXPIRATION NUMBER __________________
BILLING INFORMATION ADDRESS: __________________________ CITY/STATE/ZIP __________________________ PHONE: ( )________________________
SHIPPING INFORMATION YOUR SHIPPING NAME: __________________________ ADDRESS: __________________________ CITY/STATE/ZIP __________________________ PHONE: ( )________________________ |
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Mail or fax this form to: Griffin Directories, Inc. PO Box 1314 Indian Rocks Beach, FL 33785 Fax (727) 517-1998 Phone (727) 517-1997 |