Keys of Enoch: Mail Order Form


	ORDER FORM

		Shipping Address IF DIFFERENT FROM CARD HOLDER PLEASE NOTE IF THIS IS A GIFT

Name

GIFT

Address

City

State/Zip

Country

Telephone*

E-mail*


	* OPTIONAL ONLY IF THE SHIPPING AND CARD HOLDER ADDRESS ARE THE SAME, OTHERWISE CONTACT INFORMATION FOR CONFIRMATION OF DIFFERENT SHIPPING ADDRESS MUST BE INCLUDED.

Quantity	Description	Price US $

TOTAL OF SALES ORDER
ADD POSTAGE & SHIPPING As indicated - Foriegn Airmail only with appropriate funds
SALES TAX California residents only add appropriate tax for your county
DONATION Thank you very much! Donations make our work possible
TOTAL AMOUNT ENCLOSED

Method of Payment
[ ] Check or International Bank Draft (in U.S. Dollars)

[ ] Master Card [ ] VISA [ ] Discover [ ] American Express
Card Number:

Expiration Date: (Month / Year)

ALL CREDIT CARD ORDERS NOW REQUIRE THE CVV SECURITY CODE (usually a 3 digit code on the back of the card to the right of the signature area. AMEX has a 4 digit code on the front of the card above the actual card number to the upper right) If you have any questions about this please call us.

CVV SECURITY CODE

Credit Card Holder Information:

Printed Name

Signature

Card Holder Address (if different from shipping address):

Address

City

State/Zip

Country


	All orders must have accompanying payment by domestic check, international money order, or credit card. Foreign residents: your international bank draft must be in United States currency. Canadian residents: we also accept a Canadian Postal Money Order in U.S. dollars. Make checks or money orders payable and send this printed form to: P.O. Box 395, Ava, MO 65608 USA

	Thank you in advance for your order and your generous donations.