You can print out a copy of this form and mail it or fax in
Last name first
If no apt, put no
Notes
METHOD OF PAYMENT:
CHECK CK# Credit Card
CREDIT CARD TYPE
EX. DATE
CREDIT CARD NUMBER
CID CODE ON THE BACK OF THE CARD --LAST 3 NUMBER WITHIN THE SIGNATURE PANEL
SIGNATURE AS ON CARD
Check here
All Other see Shipping Cost
Minimum order is $10.00
Phone US & Canada 1-800-427-8101 or other 925-935-5995
Fax 925-939-9312
Country Calendar - - -P O Box 3178 - - - Walnut Creek, CA. 94598