Dreamweaver Templates2go Fax/Mail Order Form

Templates2go Fax/Mail
Order Form

Please print out this form, enter your order information and fax it to
Regent Press at: (213) 947-1068. Or mail to the address below.

Billing Address of Cardholder

Name___________________________________________________

Address_________________________________________________

City_______________________ ST/Prov________Zip/Post_______

Country___________________________________ Date___/___/___

Phone______________________Fax__________________________

E-mail address:____________________________________________

Delivery Address if Different from Billing Address

Name___________________________________________________

Address_________________________________________________

City_______________________ ST/Prov________Zip/Post_______

Country___________________________________ Date___/___/___

Phone______________________Fax__________________________

Yes, please send me the following:

Item# - 101 - Dreamweaver Templates2go Pro Design Pak 1 CD - $50.00

Item# - 201 - Dreamweaver Templates2go Pro Design Pak 2 CD - $50.00

Item# - 301 - Dreamweaver Templates2go Pro Design Pak 3 CD - $50.00

Item# - 401 - Dreamweaver Templates2go Pro Design Pak 4CD - $50.00

Item# - 501 - Dreamweaver Templates2go Pro Design Paks 1, 2, 3 and 4 combined CD - $150.00

SUBTOTAL:

California Residents Only - Sales Tax 7.25%

Shipping & Handling (Check one box below
and enter amount here if any):

FREE via Priority Mail (USA Only)

FREE Global Priority Mail (International Destinations)

__________A

__________B

__________C

Please add A+B+C and enter your total price here:

__________TOTAL

Payment Information:

Credit Card Number_______________________________________

Expiration Date ______/_______ ( ) MC ( ) Visa ( ) Amex

X_______________________________________________
Signature

Name of Cardholder_________________________________

======================================================

Thank you for your order! Your satisfaction is GUARANTEED!

Mail to: Regent Press, 2081 N. Oxnard Blvd. #251, Oxnard, CA 93030
Fax to: 213-947-1068

Questions or comments? Send e-mail to: Linda@templates2go.com