Please supply us with the following information:
PLEASE BE ADVISED - Our website is not a secure website
at present. That means your credit card information is not private nor secure
from other people. Please do not use this method of ordering if you do not want
to be at possible risk of having your credit card data exposed to others. We are
working on the problem. In the meantime, you may always write to us, fax us, or
call us with your order.
Or....
Please copy this page into your text editor / word processor / e-mail
package, and fill-in the details as required.
You can place your order by email (be aware that e-mail is not secure either
unless the e-mail is encrypted), mail, or fax, and we have a variety of payment
methods from which you can choose.
Rosicrucian Fellowship Products Order Form
Description: Quantity: Price: Total:
1] __________________ ______ ______ ______
2] __________________ ______ ______ ______
3] __________________ ______ ______ ______
4] __________________ ______ ______ ______
5] __________________ ______ ______ ______
6] __________________ ______ ______ ______
7] __________________ ______ ______ ______
8] __________________ ______ ______ ______
9] __________________ ______ ______ ______
10] _________________ ______ ______ ______
Postage & Handling: ______
Order Total: ______
Form of Payment:
IN THE UNITED STATES:
Personal checks, Express or Postal Money Orders,
Visa, MasterCard, Discover, AmEx, U.S. currency only.
ALL OTHER COUNTRIES:
International Postal Money Orders and
Foreign Bank Drafts payable through banks in
the United States, VISA, MasterCard, Discover, or AmEx.
US POSTAGE AND HANDLING:
see above.
FOREIGN POSTAGE AND HANDLING:
see above.
Address orders and make remittances payable to:
THE ROSICRUCIAN FELLOWSHIP
2222 Mission Avenue, PO Box 713
Oceanside, CA 92049-0713, USA
Telephone: (760) 757-6600
Fax: (760) 721-3806
Date: ________________________________________
Amount Enclosed:______________________________
Check:________________________________________
VISA:_________________________________________
MasterCard:___________________________________
Credit Card Number: __________________________
Expiration Date: _____________________________
Signature: ___________________________________
Name: ________________________________________
Street: ______________________________________
City: ________________________________________
State: _______________________________________
Zip Code: ____________________________________
Send us your order by one of the following methods:
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