Chance Enhancer

Order Form

 Sales@ChanceEnhancer.com

Note: This is an offline order form.

1) Fill this form in,
2) Print it out,
3) Fax it to us @ 928-778-5275,
or mail to us at:
Stewart Communications
PO Box 11929
Prescott AZ 86304.

SHIP TO:

Name/Title:
Organization:
Street Address:
City, State, Zip:
Phone:
Facsmile:
Email:

BILL TO:

Name/Title:
Organization:
Address:
City, State Zip:
Phone:
Facsmile:
Email:

MC/VISA Payment:

Credit Card Number:
Credit Card Expiration Date:
CreditCard Customer Service Phone Number:
 
Name as it appears on the Card:
Billing Address as it appears on Credit Card Statement:
City, State Zip:


Chance Enhancer
Quantity Description Price Each Total

Chance Enhancer Media Guide

$25.00

Terms: Prices quoted are for electronic delivery. For mail delivery of a CD to your street address, add $5. For mail delivery of a printed Guide, add $10. NET30 terms are offered ONLY to 501(c)3 Nonprofit, School and Government Agencies.  All others are pre-paid. We accept MasterCard, VISA, Company Checks, and Money Orders.
Sales Tax is charged on all orders with addresses within the state of Arizona.

 

 

AZ Sales Tax: 

Remitted: