Order Form

To: Gordon Press, Box 6400, CD-ROM

Snowmass Village, Colorado, 81615

Please send me ____ copies of

"Gwyn's CD-ROM Cookbook" at $19.95 per copy.

($18.95 plus $1.00 for shipping)

Enclosed is my check for $___________

(NOTE: do not send credit card information by email)

Enclosed is my Credit Card Number:

__ __ __ __   __ __ __ __   __ __ __ __   __ __ __ __

Expiration Date: Month____ / Year____

 

Signature: ___________________________

Please check one:

American Express___, Visa ___, or Master Card ___

Credit Card Billing Address:

Name ____________________________

Street ____________________________

City ________________ State _________ Zip _____________

If shipping address is different than credit card billing address

please fill out below.

Shipping Address:

Name ____________________________

Street ____________________________

City ________________ State _________ Zip _____________

 

Email address: _______________________________________

 

___This is a gift. Please send directly to:

Name ____________________________

Street ____________________________

City ________________ State _________ Zip _____________

 

Additional Notes: