CARTER STEVENS ORDER FORM

Date (mm/dd/yy):
Name:
Address:
City:
State:
Zip or Postal Code:
Country (if out of the US)
Your Phone Number (xxx-xxx-xxxx):
Your Email Address:
Title or Item Catalog # ..........Price
..$
..$
..$
..$
..$
..$
..$
..$
..$
..$
...............................................................................Sub Total...$
For videos: Add $4.95 for first Title Plus $2.00 for each additional video
(Free for orders over $110) or for 5 or more videos.
For any other item add amount shown on item page ........................................................Shipping and Handling...$

... For Foreign Orders (Outside the US) pleas add $10/US...$

....................................................................... Less Discount...$

......................................................................................Total...$

Method of Payment
Credit card: AMEX Visa Mastercard Discover
ACCOUNT # and expiration date (mm/yy):

Order more than 5 Titles and we pay the Shipping & Handling.

If you have any problems with order form please E-mail us directly

CarterS@aol.com
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