AIIS ORDER FORM
GIFT CERTIFICATES AVAILABLE
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Please provide your BILLING ADDRESS for the credit card used:
Name Please fill out all the information: Contact information Ordering information Billing information Shipping information Thank You For Your Order! Or fill out this form & mail to: 6422 North Brandywine Dr. Margate, Florida 33063 Street Address 1 Street Address 2 City State/Province Zip/Postal Code Country (If outside US) Home Phone Work Phone FAX E-mail How did you hear about AIIS?
Please fill out all the information:
Contact information
Ordering information
Billing information
Shipping information
Thank You For Your Order!
Or fill out this form & mail to:
6422 North Brandywine Dr.
Margate, Florida 33063
ITEM NO. QTY. DESCRIPTION EACH TOTAL IMPORTANT NOTE: Be sure to specify whether you are requesting a CASSETTE or a CD format for your media. If you don't select a format we will assume you've selected CD. To order a phone reading please list the type of reading and time desired under description and put the total to the right as for other purchases. Be sure to EMAIL us separately with the data required for your reading as described under services. (There is no shipping or tax on readings.) SHIPPING & HANDLING: $3.00.....up to $19.99 $8.00....$50.00-74.99 $4.00....$20.00-34.99 $10.00....$75.00-99.99 $6.00....$35.00-49.99 $12.00....$100. & over OVERSEAS CALL FOR RATES! Overnight delivery is available at and additional charge. SUB-TOTAL S & H TAX (FLA.)7% $1.30 if under $50; $2.20 for $50-$100; $3.20 for $100-$200; $4.20 for $200-$300; $5.20 between $300 and $400. Insurance (optional) TOTAL PLEASE NOTE: There will be NO refunds for series classes, only exchanges for the same series if there is a defect. You may purchase the first lesson of any series to sample it. This should be ample enough for you to make a judgment about the remainder of the series. If it meets your satisfaction we will sell you the balance of the series less the expense of the first lesson. mailto: aiis@astrologicalinstitute.com BILLING INFORMATION: Pay Method: Credit Card Money Order Check (will hold until cleared) Type of Card: Visa Mastercard American Express Discover Cardholder Name: Card #: Expiration: CCV Code: SHIPPING INFORMATION: Shipping Name: City: Street Address 1: State/Province: Street Address 2: Zip Code: Country: To pay by PayPal just fill out your order form and send it as usual then go to www.PayPal.com and send your payment for the full amount, including shipping to: aiis@astrologicalinstitute.com
ITEM NO.
QTY.
DESCRIPTION
EACH
TOTAL
IMPORTANT NOTE: Be sure to specify whether you are requesting a CASSETTE or a CD format for your media. If you don't select a format we will assume you've selected CD.
To order a phone reading please list the type of reading and time desired under description and put the total to the right as for other purchases. Be sure to EMAIL us separately with the data required for your reading as described under services. (There is no shipping or tax on readings.)
SHIPPING & HANDLING: $3.00.....up to $19.99 $8.00....$50.00-74.99 $4.00....$20.00-34.99 $10.00....$75.00-99.99 $6.00....$35.00-49.99 $12.00....$100. & over OVERSEAS CALL FOR RATES! Overnight delivery is available at and additional charge.
SUB-TOTAL
S & H
TAX (FLA.)7%
$1.30 if under $50; $2.20 for $50-$100; $3.20 for $100-$200; $4.20 for $200-$300; $5.20 between $300 and $400.
Insurance (optional)
BILLING INFORMATION:
Pay Method:
Type of Card:
Cardholder Name:
Card #:
Expiration:
CCV Code:
SHIPPING INFORMATION:
Shipping Name:
City:
State/Province:
Zip Code:
Country:
To pay by PayPal just fill out your order form and send it as usual then go to www.PayPal.com and send your payment for the full amount, including shipping to:
aiis@astrologicalinstitute.com