Fill This Order Form Out And Print

Book Net USA allows secure ordering  on-line. However, if you would like to order by mail and pay by check or credit card, you have two options. When you select the Order icon your items are added to your shopping basket and listed on the order form to be sent by secure server. Note: All returned checks are subject to a $25.00 fee. To Order by check or credit card by mail, print the order form and mail with your check or credit card information.

Code # Short Title Price

FSAF

Marital Separation Agreement Kit

19.95

YOUR STATE

 

 

     
  Shipping & Handling: 

 $9.95

 

Total:   

$ 29.90

Customer Information
Name:
Address: 
City:    St:    zip: 
Phone:    FAX: 
Enter Check Information      (or mail with your order)        
Bank Name:  Saving   Checking   Business
Account Number:
ABA Routing Code:
Enter Credit Card Information
Credit Card #:
Exp. Date (mm/yy):
Name on Card:
Billing Address:
(if different from above)

To order forms by mail with electronic check or credit card, complete and fax this form to
(910) 223-1477 or
complete and mail with your check or money order to:
Book Net USA, Inc.
P.O. Box 87165
Fayetteville, NC  28304


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