USA ORDER FORM SECURE PURCHASE SITE
Prices shown in local currency as of March 2010 A.D. Subject to change without notice. Allow 2 -3 weeks for delivery.
CREDIT CARDS ONLY ACCEPTED
(not Debit Card).		 To see other DVDs, CDs and items from Creation Research click WEB SHOP
TO PURCHASE PRODUCTS COMPLETE FORM BELOW.
 THEN CLICK SUBMIT BUTTON AT END.
1 Client Details
Date
Title
* First Name
* Surname
Company
Position
2 SHIPPING DETAILS
* Address
 
* State
Country
* Zip Code
3 CONTACT DETAILS
Phone No. Home Phone
Fax
Email
4 ORDER DETAILS. Total orders over $60.00 Post Paid
* DVD's * Qty * Title: DVD's * Pack & Post
Item 1, DVD

$15.00 each plus P/P $3.00

Save$$$ buy 10 or more DVD's for only $10.00 each

Item 2, DVD
Item 3, DVD
Item 4, DVD
       
* CD's * Qty * Title: CD's * Pack & Post
Item 1, CD $5.00 each except for Jehovah Jireh ($10) plus P/P $3.00
Item 2, CD  
Item 3, CD
Item 4, CD
Item 5, CD
Item 6, CD
Item 7, CD
* DVD/
CD's		 * Qty * Title: Special Offer 1 DVD & 2 CD's
save $10.00		 * Pack & Post
Item 1,
DVD		 $21.00 set plus P/P $3.00
5 PAYMENT DETAILS
* Value
* Pack/Post
* 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.
 
PURCHASE STATEMENT: Please supply the products I have selected above. For payment, I authorise you to debit the above credit card for the total amount. I understand I will be contacted by phone, fax or e-mail confirming order. Following confirmation, the goods will be shipped to me.
PLEASE RECHECK THAT ALL THE BOXES HAVE BEEN FILLED IN BEFORE YOU PROCESS YOUR ORDER THEN CLICK