= Required Information
*FIRST and LAST Name:
*MAILING Address Line 1:
Address Line 2:
*Day Time Phone:
Of Calendars Ordered:
/ Handling Fee:
(Shipped from Connecticut)
Credit Card Number:
NOTE: This order form is SECURE
VERIFY Credit Card Number:
V - Code:
Without this number, we can not process your order.
Card expiration date:
Your name exactly as
stated on your credit card:
Is the shipping address above the same as the
billing address of your credit card?
PLEASE use the return key when your
typing reaches the right side of the box. Thank you.
Buying more than 1 calendar, and shipping
them to more than 1 address?
Add the additional addresses below. (Individual shipping charges
apply to each additional shipment address.
Connecticut Residents will pay 6% Sales