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Please Note!
If you did not receive an e-mail confirmation from us, it is likely
you entered an invalid e-mail address and we will not be able to get
you your order. Please
Email us right away with the correct address.
If you paid online with a credit card, you do not
need to send this form in.
Mailing a Check?
Please send a check for the total amount with the
confirmation page you just printed or write the order number on your
check. We will e-mail you your access
links once payment is received. Mail to:
Terimore Institute, Inc.
PO Box 752
Vaughn, WA 98394
Please mail your check within 3 days after your
order.
Paying By FAX?
Please Print this Page, Fill in the Form Below
and FAX to:
815-301-9070.
You do not need to FAX any other pages.
Name: ______________________________
Address: ____________________________
City, State, Zip:
_________________________________
Phone: ___________________________
E-mail: _________________________________
Order # (on confirmation page you printed):
________
Credit Card Type (VISA or MC) _______________
Credit Card # _____________________________
Exp Date ______________
Please charge the above credit card $_________
for the items I ordered.
Cardholder's Signature:
_______________________________
Please FAX this within 3 days after your order.
Thank you! |