Order Form

Please print out this form, fill it out and mail with your check, money order or credit card information to:

Atiyeh International, Ltd., PO Box 3040, Newberg, OR 97132-5040

We will ship your order upon receiving it, but you should expect delivery in four to six weeks.


Your Address:

State, City and Zip:

Province and Country:

Please charge my credit card in the amount of $_______ to: (MasterCard, Visa or Discover only- circle one)

Account#:_________________________________ Exp. Date:__________








Timeless Kermans video (U.S. Std.)




Timeless Kermans video (PAL)




Full color portfolio




Other countries shipping







All prices in U. S. Dollars (USD)

If you need to discuss any of the above items with a real person, call these telephone numbers:

U.S.A. and Canada - 1 800 669-1905   •   Other countries - 1 503 538-7560

We are usually in the office from 8:30 to 5:00 Pacific Time. We have 24-hour voice mail if you care to leave a message.

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