FAX ORDER

 

 

 

Your Name___________________________________________

(as it appears on your credit card)

Agency/Company______________________________________

 

Credit Card #  ________________________________ MC ___ Visa ___

 

Expiration Date           ____/____                   Card Code _________________

(MM/YY)                    (The 3 digit number that appears on the

 white stripe on the back of your credit card)

 

E-mail Address           ____________________________________

(we’ll send you confirmation of shipping)

 

Telephone # (_____) _______________

                                                                                                                        

Billing Address

 

City/ST/Zip

 

Shipping Address

(if different)

 

City/ST/Zip

 

 

Description

Price

Qty

Ext.

Classic - Tactical Spanish for Firefighters and EMS

 (3 CDs, printed Workbook, Quick Reference Handbook)

$60

 

$

Digital - Tactical Spanish for Firefighters and EMS

 (USB Drive, Quick Reference Handbook)

$40

 

$

Sales Tax (9.25% if shipping to California – otherwise $0)

 

 

$

Sub-Total

 

 

$

Shipping & Handling ($11 for Classic courses, $6 for Digital courses )

$

1

$

Total

 

 

$

 

Your signature________________________ Date(MM/DD/YY) ____/____/____ 

Please print and fax this form to (408) 782-2042. We’ll ship your order within one business day. We ship by USPS Priority Mail, Delivery takes 2 – 3 business days. Thanks for ordering from Public Safety Language Training.