- ONLINE MAIL ORDER FORM-

  Sent by the US mail.
 

Fill out this form and then print it out or print the information on a piece of paper.

"Enter a number 1 in the quantity field"

Cost

Quantity

Description

$65.00

 2 Paper Books - optional - books come on a CD for your computer!!

$200.00

 Second Student - with one course

$340.00

 DVD  325.00 + 15.00 S&H

$95.00 Down

 DVD  Payment Plan - Pay $80.00 + $15.00 S&H  Today!  (Then $50.00 a month for 6 months - If paying by check enclose 6 post dated checks -

You can finish the course before payments are complete, but full payment must be made before the certificate is sent to you.

South Dakota:  Add sales tax to your total. Look at a sale receipt to see what amount you pay. 

TOTAL

Student Information

 1st Student Name       2rd Student  
 1st Student age   2rd Student  
 1st E-mail Address     2rd Student  
  How did you hear about Basics & Beyond?

How will you be paying for your order

  Name on Card  As it appears on the credit card!
  Payment Type     
   Allow 3-4 weeks for delivery for checks   - (1-2 weeks for all others)
  Card Number

              

 Expiration Date

  Month     *        Year     *

 CVV2/CID:   What is CVV2/CID
 Who is the cardholder  *
 Do you have permission to use this
 card?
  Yes: No:  *

Order must be shipped to the address where the credit card statement is sent!

 Billing Address
 City, State &  Zip or   Postal Code
 All Phone Numbers
 All Phone Numbers   Card holders
 Your Cell Number
  Comments or   Directions

Place your order in an envelope and mail it to the address below

             Send to: Bevarly Latham
3213 West Main St. #270
Rapid City, SD. 57702-2314



Calculating Order Form Totals in JavaScript
     
 

Copyright  2001 - 2003 - 2004  - 2006 - 2009 Basics & Beyond. All rights reserved.


Part of this form is Copyrighted 1991-2004 Paul McFedries and Logophilia Limited