Poster Order Form

To purchase poster online with software fill out
Order Form instead of Poster Order Form

If mailing or faxing order, click after filling
out this order form or print and fill out the Mail or Fax Order Form.

Shipping is via priority mail unless FedEx (extra charge) is requested.

Posters:
Quantity: Posters x $5 =	$

Delivery
Location
Method
Shipping and Handling	$

Total . . . .	$

Name and mailing address:
(Items will be sent priority mail unless you request FedEx shipping.
For FedEx shipping, provide street address instead of PO Box.)

Payment Method: (Select One)

Card Number:
Expiration Date:

Card billing zip code if different than shipping:

Wire transfer ($10 bank service fee plus any
other intervening bank service fees that may occur.
You will be emailed bank coordinates.)

Email proforma invoice to me (Price quotation
for payment if not submitting credit card above.)

Purchase Order
(If you haven't placed a purchase order with us before,
please fax purchase order to: 541-764-3935)
PO#

Email Address:

Phone Number (if requested FedEx shipping):

We respect your privacy. All submitted information is kept private.
We do not share or sell any information.
This is not a SSL server. If you desire SSL security,
please fill out the Mail or Fax Order Form.

Please wait for confirmation after sending order.

MjM Software Design
PO Box 129
Gleneden Beach OR 97388

Fax: 1-541-764-3935