HANNAIAN PURCHASE ORDER FORM

This form may be used for several different purposes

1.To purchase Hannaian Product.
2.To register and / or pay for Hannaian Business Training Institute Conferences, Seminars Retreats.
3.To facilitate any other Hannaian online payment, or registration process otherwise identified in the Website.

Customers may fill out the form below and fax it in with payment information if they prefer. The fax method of ordering will delay receipt of your ordered items or registration by approximately one wee k.





PURCHASE ORDER FORM
Please identify which type of transaction you are using the form for at this time:
First Name:
Last Name:
Middle Initial:
Email Address:
Internet Address
Street Address:
City:
State:
Zip Code:
Country:
Country Code:
Telephone #: ( )
Fax Number: ( )
Gender: Male Female
Item Stock #:
Item Description:
No. of Items:
1) Product Price(Total Price In US Currency)
Price US$:
2) Shipping + Handling (Total + 10% U.S., or Total + 15% Non-U.S.)
Shipping:
3) Total Order (Product + Shipping)
Total Order:
CC. Type:
C. Card #:
Expire Date:
How did you hear about us:
Explain Further? (Optional):
Questions/Comments? (Optional):
Referring Publisher Name (If applicable)
FOR CUSTOMERS LOCATED OUTSIDE THE UNITED STATES CLICK HERE
If outside the United States this order will be submitted to Hannaian International Ltd. Also this order form may be printed, mailed or faxed t o Hannaian International at (242) 364-1980 if you prefer.
FOR CUSTOMERS LOCATED WITHIN THE UNITED STATES CLICK HERE
If within the United States this order will be submitted to Hannaian U.S.A. Corp. Also this order form may be printed, mailed or faxed to Hannaian U.S.A. at (561) 8 42-5006 if you prefer.



COPYRIGHT 1996, HANNAIAN INTL., ALL RIGHTS RESERVED WORLDWIDE