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.
Name:
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:__________
Signature:_____________________________
Qty. |
Item |
Price |
|
Extension |
|
Timeless Kermans video (U.S. Std.) |
$15.00 |
|
$ |
|
Timeless Kermans video (PAL) |
$15.00 |
|
$ |
|
Full color portfolio |
$10.00 |
|
$ |
|
Other countries shipping |
$5.00 |
|
$ |
|
|
---TOTAL
| |
$ |
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.
Back to the Gift Shop
|
