ORDER FORM

Print this form, and mail it with your payment to the address below - THANK YOU!

   
Quantity Each Total
  Book - People Are Just Desserts  

$20.00

 
  Book - Icebreaking 101  

$13.00

 
  Icebreaking Cards   $7.00  
  People Are Just Desserts DVD   $10.00  
  Obstatunities Cajun Style Audio CD   $10.00  

Texas Residents, add 8.25% Sales Tax

 

 Shipping & Handling (see table below)

 

TOTAL  

 

Shipping & Handling

Payment Information
Order Amount S & H Please send this completed form with Cash, Check or Money Order to:

Perry A~ and Associates
626 Scheel
Kyle, TX  78640

$0-49.99 $5.54
$50-99.99 $7.50
$100-199.99 $9.50
$200+ FREE
 
To pay with Visa, Mastercard or Discover, please supply the following information:
Name on Card:
Type of Card:
Card Number:                                                                     Exp. Date:
CCV (3 or 4 digit security code on back of card):
Signature (required):

 

Where should we send your order?

Name:
Address:
 
City:                                                                               State/Province:                                  Zip Code:
Country (if other than US):
Daytime phone:                                                                         email:
 

If your billing address is different from your delivery address, please list it below:

 
 
 
 
 
 

THANK YOU!  We Appreciate Your Business!