If you have difficulties with this order form... contact AlexFox@erols.com
| Order Form | |||
| Go Back
|
QTY | Unit
Price |
Total
Price |
| TravelMate with instruction guide
BLUE______ WHITE______ |
4.59 | ||
| Three-Pack (3 TravelMates & guide)
BLUE______ WHITE______ |
12.95 | ||
| Subtotal | |||
| First Class Mail WITHIN the USA - $3 -
(usually takes 5-7 days) Priority Mail WITHIN the USA - $5 - (usually takes 3-5 days) Air Mail OUTSIDE the USA- $6 - (average delivery 10-21 days) |
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| Shipping Charge | |||
| Total | |||
| Ordered By: |
|
| Please fill out required fields. | |
| * Name: | |
| Company: | |
| * Address 1: | |
| Address 2: | |
| * City: | |
| * State: | U.S. only |
| * Zip code: | |
| Province: | Other countries |
| * Phone: | |
| Country: | |
| Fax: | |
| Yes, email me a copy of this order to: | |
| * E-Mail address: | |
| Deliver To: * Only if different from Ordered By: |
|
| Name: | |
| Company: | |
| Address 1: | |
| Address 2: | |
| City: | |
| State: | U.S. only |
| Zip code: | |
| Province: | Other countries |
| Phone: | |
| Country: | |
How did you hear about us?
|
Pay Pal - AlexFox@erols.com |
Trans
Info Project
P.O. Box 1145
Greenbelt, Maryland 20768-1145
United States
Email: alexfox@trans-man.org