PUBLISHER PURCHASE ORDER FORM |
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| Please fill out the form below and fax it in with payment information if you prefer. The fax method of ordering will delay receipt of your ordered items by approximately one week. | |||
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| PURCHASE ORDER
FORM |
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| Please identify which type of transaction you
are using the form for at this time: |
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| NOTE: Publisher I.A.N. Code (This Is only applicable to Hannaian Publishers) | |||
| I.A.N. Code | |||
| 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., **Min. US$3.00) | |||
| 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): | |||
| FOR CUSTOMERS LOCATED
OUTSIDE THE UNITED STATES CLICK
HERE
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| 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. | |||
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