MORE INFO
Order Form
To order, please complete this form and send with payment to:
P.F.A. Foundation - Legacy
1441 Avocado Avenue, Suite 508
Newport Beach, California 92660-7791
FAX: 949-721-9146
Please pay in advance (international Money Order or Check)
in the amount of:
US$ $35.00 per copy (includes shipping and handling)
(California residents add 7.75 % sales tax. )
For international orders add $5 for postage per single copy
Please allow 4 - 6 weeks for delivery
U.S. currency only. Please do not send cash.
Make checks payable to PIERRE FAUCHARD ACADEMY
Please make your tax deductible check or money order payable to:
P.F.A. Foundation - Legacy
(P.F.A.) Pierre Fauchard Academy
P.F.A. Foundation - Legacy
1441 Avocado Avenue, Suite 508
Newport Beach, California 92660-7791
FAX: 949-721-9146
Please pay in advance (international Money Order or Check)
in the amount of:
US$ $35.00 per copy (includes shipping and handling)
(California residents add 7.75 % sales tax. )
For international orders add $5 for postage per single copy
Please allow 4 - 6 weeks for delivery
U.S. currency only. Please do not send cash.
Make checks payable to PIERRE FAUCHARD ACADEMY
| Cost: | ______ |
|
| International postage & handling/copy | ______ |
|
| Sales tax (California Residents) | ______ |
|
| Total enclosed $ USD | ______ |
Please make your tax deductible check or money order payable to:
P.F.A. Foundation - Legacy
(P.F.A.) Pierre Fauchard Academy
Orderer: _________________________________________________
...................DR. Mr. Mrs. Miss. Ms.
SHIP TO:
Mailing Address______________________________________________
Mailing Address______________________________________________
City_____________________________State________Zip Code________
Country_______________________
Your Daytime Phone Number:_______________________________
FAX Number:_____________________________________________
Payment Amount Enclosed
International Money Order: USD $ ____________