3 D Acupuncture Atlas - Order Form
| Printable Order Form INSTRUCTIONS: Fill in all the info, print it out and snail-mail it to Iron Patriots, P.O. Box 15991, The Strip Station, Las Vegas, Nevada 89114, USA or e-mail at IRON PATRIOTS Yes, send me Dr. Dumitrescu's 3 D Acupuncture Atlas at $129* (per copy) + $8.50 Priority Mail Certified Shipping per one CD-ROM Delivery within the USA. For International Delivery, please call or e-mail. For quantity orders please phone: 1-702-227-4130 to discuss your order. Nevada Residents Please Add 7.25% State Tax. Special prices for orders in quantity. Please feel free to enquire. Yes, send me the Demo Version for $15. I understand that if I purchase the full version later, the $15 will be deducted from the total price of $129. Please fill in all shipping information Buyers name:______________________________________ Recipients name (if different):________________________ Shipping address:___________________________________ City:___________________________________ State:____________ Country______________ Postal zip code:________________________ Phone# of buyer:________________________ E-mail of buyer:________________________ I am ordering: __3D Acupuncture Atlas Full version ($59.95). I am ordering __ 3D Acupuncture Atlas Demo version ($15.95). Number of CDs (how many)_______________________________________________ Please choose payment method : Check _____ (payable to Iron Patriots) | International Money Order _____ | Please fill in your total costs here:________________________ Do NOT Send ANY CASH PAYMENTS: We ASSUME ABSOLUTELY NO LILABILITY FOR CASH PAYMENTS SENT THROUGH THE Snail Mails ! Thank You for your Order. |