Printable Order Form ~ Print and Mail

Jeanne Rose, 219 Carl Street, San Francisco, CA 94117

Telephone 415-564-6785 OFFICE USE Date order received _________
  OFFICE USE Date order shipped  _________

Date:_______ Name (please print)
_______________________
Signature: __________________________

Address_____________________________

Phone:____________ Email__________________
City _______________________________ ST ____ ZIP ____________

CREDIT CARD No._________________________________

Exp.___

[ ] Visa  [ ] MC
[ ] Discover [ ] AMEX

Name of Item

Quantity

Price (ea)

Total

[ ] Check if you want books autographed!

Catalog/Price List $1

Wholesale orders are 40% off retail price, Minimum order $100.
For complete catalog of kits/books/course contact Jeanne Rose
by phone/fax or email. Minimum Retail Order $30.00.

Total Cost

If shipping to CA, please add 9.25% CA Sales Tax

9.25% CA Tax

S&H Minimum $12.50 in USA via UPS. Outside USA 30% S&H.
[We Ship UPS - No P.O. Boxes Please]
$0 - $50; Add $12.50, $50.01 - $100.00; Add $13.50 $100.01 - $200.00;
Add $15.50, $200.01 and over; $17.50
All Courses are shipped for $25 within the USA.

Shipping
& Handling

All orders are pre-pay. PLEASE INCLUDE PAYMENT WITH ORDER.

TOTAL

 Jeanne Rose Website Home Page :: Guide to the Jeanne Rose Web Site :: Updated 11/27/06