Print this form and then FAX to number below.
Photos on CD-ROM Order Form -- Third Edition
Order by phone, mail, E-Mail or FAX.
Note when paying by credit card that this is NOT a
secure site.
Mail or FAX your order and make payment to: We accept:
Barbara Wilson-Clay Visa/Mastercard
12710 Burson Personal Checks
Manchaca, TX 78652 Purchase Orders
512-292-7227 Fax 512-292-7228 EIN# 74-2923741
E-mail to: bwc@lactnews.com
Name:______________________________________________________________
Address: ___________________________________________________________
Dept. (Room #):______________________________________________________
City: ________________________________________State:____Zip:__________
Phone: ________________________ E-Mail: _____________________________
Credit Card or Purchase Order Number:________________________________
Credit Card Type:___________________ Exp. Date:______________________
Signature:_________________________________________________________
Number of CD's: ____ at US $55.00 each - Individual Price $_______
Number of CD's: ____ at US $150.00 each - Institutional Rate $_______
Sales Tax: TX or PA residents only.
Texas (8.25%) or Pennsylvania (7%) $_______
U.S. Shipping and Handling: $6.00 for 1
$9.00 for 2 to 9
$12.00 for 10 to 20 $________
Total $________
Please inquire concerning international shipping rates and bulk orders.