Your Bookstore 
(This is a non working Order Form, your custom form with your name will, of course,
take the order, send a copy to you and a copy to our order department.)

Order Form

Our Office Hours: 2:00 p.m. - 5:00 p.m. EST
Monday - Thursday
Fax 813 391-4598 -- Phones 813 391-3958

You may place orders 24 hour
a day by completing the form below.


If Your Browser Supports Secured Transmission...
Click Here for Order Form with Valid Security Certificate


Orders will be shipped within three to five working 
days of receipt of your order.
 


Products Ordered



How Many Of The Item? 
Item Price 
Shipping $4.50 
(Unless higher amount specified)
Item Name 




First Name 
Last Name 
Company Name 
Street Address 
(line 2) 
City 
State 
ZIP Code 
Country 
Business Phone (-
Fax (-
Home Phone (-
E-mail Address 
Your Web URL 

 We Believe The Net Is Safe...

But if you have any concerns about the security of 
your credit card you may:

GO TO THE CREDIT CARD SECURE ORDER FORM
Or
Call In Your Order 813 391-3958
Or
Fax your card number and expiration date.
Print out and Fax this form.
Fax 813 391-4598


Charge Card Type - Enter Visa or MasterCard Only 
Charge Card # 
Expiration Date 
Name as it appears on the card. 
We Will Add $4.50 for first item and $1.00
for each additional item for shipping and handling.
Unless A Higher Shipping Rate Is Specified.
Your order will be shipped within 3 to 5 working days.
Your Orders Will Be Shipped By Fast Priority Mail...
Or Fast And Safe RPS.
Overseas orders will be priced according to
country shipping and handling cost.
Generally shipping for a small order overseas
order is between US$25.00 to $40.00




Your Name HERE
Your Web Address http://www.yourdomain.org
Your E-Mail: info@yourname.com
 
 
 
 
 
 

Copyright © 1998 Powell Productions, Largo, Florida. All rights reserved unless specifically noted.