Life of Learning Foundation Order Form
Please print and fill in this form, then refer to the mailing address and phone & fax numbers at the bottom of the page.
| Personal Information : | |||||||
| Name: | Ref ID: | ||||||
| Address: | Apt. #: | ||||||
| City: | State: | Zip: | |||||
| Phone: | E-mail: | ||||||
| Product Information | |||||||
|
Item # |
Qty |
Description |
$ Each |
$ Total |
|||
|
Here's my tax-deductible donation to help spread the Light. |
$ | ||||||
|
Tape/CD of the Month Club Non-U.S. Shipping |
Non-U.S. Shipping |
Order Total |
$ | ||||
| Canada
Club Members Add $2 per month Add $12 for 6 months Add $24 for 1 full year Outside the U.S. |
Subtotal
$0-18 |
Canada
$6 |
Other
$10 |
U.S. Shipping $1.99
|
$ | ||
|
Shipping
outside the U.S. |
$ | ||||||
|
Total amount Due |
$ | ||||||
| Billing Information | |||||||
| [ ] Enclosed is my check or money order to Life of Learning | |||||||
| [ ] Please charge: [ ] VISA [ ] MASTERCARD [ ] AMEX [ ] DISCOVER | |||||||
| Credit Card # | Exp. Date: | ||||||
| Name on Card (if different) | |||||||
| Billing Address (if different) | |||||||
| City | State | Zip | |||||
| Signature (required) | |||||||
| Life
of Learning Foundation PO Box 10 Merlin, OR 97532 |
Fax
Orders: 541.472.0822 Phone Orders: 541.476.1200 (Please call M-F 9am-5pm Pacific Time) |
Visit Life of Learning's website!