Canada_Specials-Order-Form

CREDIT CARDS ONLY ACCEPTED
(not UK Bankers or Debit Card).

To see other DVDs and items from Creation Research click WEB SHOP

SECURE DVD's SPECIAL DVD PRICE ORDER ALL THREE FOR $60.00 or $25.00 each - Climate Change - The God Factor, Climate Change & Creation & Are you Born Homosexual?

Prices shown in local currency as of April 2010 A.D. Subject to change without notice. Allow 2 -3 weeks for delivery.

Welcome to the easy FIVE step ORDER process.

1 Client Details
Date:
Title:
First Name:
Surname:
Company:
Position:
2 SHIPPING DETAILS
Address:

Suburb:
State:
Country:
Post Code:
3 CONTACT DETAILS
Contact No.:	A/H Phone:
Fax:
Email:

4 ORDER DETAILS
Qty	Item	Click arrow for Product title and Prices. (all prices inc. GST)	Post Free
	Item 1		1 DVD, $25.00 each All three $60.00 a set
	Item 2
	Item 3

5 PAYMENT DETAILS
Value:
Total Amt payable:
Card Type:
Card Number:
Expiry Month:	/ Year:
Name on Card:
For security purposes:		Please turn your credit card over and copy the last three digits in text box below.

PLEASE RECHECK THAT ALL THE BOXES MARKED WITH HAVE BEEN FILLED IN BEFORE YOU PROCESS YOUR ORDER THEN CLICK