Contemplative Outreach
Bookstore Order Form

Print this from and list quantity, description and price. Consult table for shipping and handling.  All orders should be accompanied by payment in full or credit card information (Visa and MasterCard only).

Qty Description Price Total
       
       
       
       
Shipping & Handling:
If order Totals:

Add:

 |

International Shipments:
Up to $15 $5.50 | Air: (4-10 days) add $20 to
$15.01 to 50 $7.50 |    standard shipping at left
$50.01 to 100 $8.50 | Surface: (6-8 Weeks) Add $10
$100.01 to 200 $11.50 |    to standard shipping at left
$200.01 to 400 $13.50 |  
$400.01 to 600 $16.50 |  For Canada, Hawaii or Alaska - 
$600 + $22.50 |  add $10 to Standard Shipping
Sub Total  
S & H  
Total  

___Check or money order enclosed

Make checks payable to Contemplative Outreach, Ltd.

___Charge to my credit card (minimum charge $12.00)
       _____Visa     _____MasterCard

Credit Card No. _________________________  Exp. Date _______

Signature_______________________________________

Name (print) _________________________________________________

Street ______________________________________________________

City __________________________________ State _____ Zip_________

Telephone _____________________  E-mail address ________________________

Mail to:
Contemplative Outreach Orders
P.O. Box 1211
Wilkes Barre PA 18773-1211		 Or fax credit card orders to (570) 822-8226

Thank you for your order!