Edutainment Fax or Mail Order Form
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_________ORDER FORM_________
YES! Please rush me the products listed below. (Send this form, or same information.)
Name: ____________________________________________________
Address: _________________________________________________
City: _____________________ STATE: ____ ZIP: _____________
Telephone: Day (_____)___________
Email Address:_________________________
Qty.........Edutainment (inc freight)......$29.95...............Price
Qty.........Word Up (inc freight)..... ......$29.95...............Price
______ __________________________________________________ __________________
______ __________________________________________________ __________________
______ __________________________________________________ __________________
______ __________________________________________________ __________________
______ __________________________________________________ __________________
FREE SHIPPING & HANDLING
............................................................TOTAL $________
___ Enclosed is my check or money order (payable to IE Hewitt)
___ Please charge my ___ Visa ___ MasterCard ___ American Express ____ Diners Club
Cardholder name_________________________ Card #_____________________ Exp_____
Signature ___________________________________________
FOREIGN PAYMENTS are accepted only by above credit cards
or by postal money order in cash US Dollars.
MAIL YOUR ORDER TO:
Ian Hewitt
4f Igarashi Bdg,
6-1-28 Shimo Meguro
Tokyo 153
Japan
PHONE 81 3 3710 3946
Email: language@gol.com
FAX