Galen Press Mail or Fax Order FormPlease
print, and mail or fax this form back to us. Ordered By: Name __________________________________________________ Company _______________________________________________ Address ________________________________________________ Address2 _______________________________________________ City _____________________ State _________ Zip _____________ Country _____________ Daytime Phone (______ ) _____________ (Phone number required with all orders for use if we need to clarify your order.) Email _______________________________________________ Send shipment to: (If same as above, please leave blank.) Name __________________________________________________ Company _______________________________________________ Address ________________________________________________ City _____________________ State _________ Zip _____________ Country _____________ Daytime Phone (______ ) _____________ If this is a gift, please include a message: _______________________________________________________ _______________________________________________________ Method of PaymentCheck/money order: Payable to Galen Press, Ltd. In U.S. funds and drawn on a U.S. bank. Purchase Order: Net 30 days. Accepted in writing, by fax or mail, on institutional letterhead from existing accounts, schools, or government agencies only. If you fax your order, do not mail a confirming order. VISA
Mastercard (circle one) Card Number _____________________________________ Card Verification Number _______________ (what is this?) Expiration Date ________ Signature____________________________________________ Name on card ________________________________________ Your Order
Shipping &
handling charges
are for U.S. destinations, and may vary for multi-item orders. Quantity discounts available on selected titles. Prices subject to change without notice. Return Policy Returns will be accepted within thirty days for items other than software if the items and the invoice are returned to us (at your expense) in salable condition. We will refund only the purchase price of the item(s) returned; we cannot refund shipping or handling charges. Defective software will be replaced if returned to us. Send completed form & payment to:
© Copyright 2001-2013 Galen Press, Ltd. |