BOOK ORDER FORM


This form is going through a secure server and will be encrypted when you return it. So, it is safe to give credit card information.
When it is filled in, send this form to me by pushing the submit button at the bottom.
If you want, you can email your order to me at jon@jztools.com. You can break your card number up into two emails for safety. Or fill out the form then phone me in Oregon between 10 AM and 8PM, Pacific Standard Time at 503-232-1565 with the card number. Sorry for the inconvenience.


Name Address
City State
Zip Country
Phone E-mail
Billing street address (if different) Billing Zip

Book Description: Please describe each book you want; and the price ... That's how I can be sure of what you want.

Title Price
SHIPPING

I can't total this up automatically, so write in the total

Total:

CREDIT CARD INFORMATION:

VISA MC NUMBER EXPIRES: 3-Digit SECURITY CODE on back:

Thank You.

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