INTERNATIONAL RETAIL PURCHASE ORDER
All applicable taxes, shipping and handling costs will be added to your invoice.

Please complete all areas of the form and press "Done". 
You can press "Reset" to clear the form if you have made an error.

An invoice will be e-mailed to you within 24 hours of receipt of this purchase order. On receipt of your payment, your order will be shipped.

1. Please provide the following contact information:

   Name
   Title
   Organization
   Work Phone
   Home Phone
   E-mail

   
   

2. Please provide the following ordering information:

   SINGLE CARD ORDERS For purchases of 1-5 of same image cards. Enter the quantity 1-5 and the ID number of the image.
   QTY	ID#	DESCRIPTION	UNIT PRICE
   		single cards	$3.95
   		single cards	$3.95
   		single cards	$3.95
   		single cards	$3.95
   		single cards	$3.95
   		single cards	$3.95
   		single cards	$3.95
   		single cards	$3.95
   		single cards	$3.95
   		single cards	$3.95
   		single cards	$3.95
   		single cards	$3.95
   6 CARD PER PACKAGE ORDERS All 6 Cards will have the same image
   QTY	ID#	DESCRIPTION	UNIT PRICE
   		Package of 6 cards	$19.50
   		Package of 6 cards	$19.50
   		Package of 6 cards	$19.50
   		Package of 6 cards	$19.50
   		Package of 6 cards	$19.50
   		Package of 6 cards	$19.50
   Additional  Order (shipping & handling will be added)

3. Please provide your shipping information:

   	SHIPPING
   Your Purchase Order Number (optional)
   Street Address
   Address (cont.)
   City
   State/Province
   Zip/Postal Code
   Country
   Confirm Your Email Address (mandatory)