JFB Desktop Publishing Diploma Shop Order Form

11550 S. Harlan Rd #30, Lathrop, CA, 95330-9759
Fax: 209) 983-0187, Voice (209) 983-0019

Fill out this order form and print it. Mail or fax it to me . Keep a copy for your records.

Name: Address:
Ship to Above Address Ship To:
Payment Options: Pay by Credit Card Mail with Cashier's Check
Mail with Personal Check (wait for check to clear)

Credit Card:

 Visa MasterCard American Express Discover
Card number : Expiration : Security code

Name on
Credit Card:

 Card Billing Address:
Home Phone with Area Code : Day Phone with Area Code :
Cell : Fax Number: E-mail :
DESCRIPTION Other Info PRICE QTY TOTAL
$
$
$
$
$
$
Sub Total $ CA Residents add sales tax CA Tax $
U.S .Shipping Groundtrack in Continental US ($10.00 / item up to a total of $30.00)
Groundtrack shipping on Bulk Pack cases of Certificates and paper- $25.00
International $30.00 and up Depending on weight and destination		 $
We thank you for your support. Signature:_______________________________ TOTAL $