Pebber Brown Online Lessons - Credit card form

Enter Your correct credit card billing address:

Name:

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email:

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Course Description or Item Description

Sale Price

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$

$

$

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SUB TOTAL:

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CA Residents add 7.75% Tax (Multiply subtotal X .0775):

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Shipping ($3.00 for 1 item, +$1.00 for each additional item):

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GRAND TOTAL:

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Refund Policy: Sorry no refunds on Books, Tapes,

Please allow

Videos or Courses due to Copyright Laws.

3 to 10 days for

Exchange on Defective product only.

shipping time.

Print and fill out this form & sign it, then FAX it to: (520) 244-7144

Overnight or

Type of Credit Card: [ ]Visa [ ]MC [ ]Discover [ ]Amex

2-day shipping

Card Number:#

is available

Expiration Date: ____/____/____

upon request.

!!! ----->>>

Signature REQUIRED: X:____________________________

Date:___/___/___