MARY JANE TODD, CDA

How to Order

If you are paying by credit card you can either phone or fax or mail (no e-mail) your order and payment to:

Mary Jane Todd
6414 Kratzville Road
Evansville, IN 47710 USA

FAX/Telephone (812) 402-8200

Name:
Email Adress:
Address:
City/State or Province/Code:
Telephone Number:

All Prices US Funds: payment must be by US check, International Money Order, Visa or Master Card. Postage & Handling information and Terms at the bottom of page.
Indicate Payment Method:

Qty.	Description	Unit Price	Line Sub-Total
		$	$
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		$	$
		$	$
		$	$
		$	$
		$	$
		$	$
		$	$
		$	$

Page Sub-Total	$
Shipping (See below)*	$
Grand Total	$

If paying by credit card, you may order via phone or by printing this form and handwriting your credit card information on the form and then either mailing, faxing or telephoning the information to me. If you have questions please call me at (812) 402-8200

*Postage & Handling within United States will be actual shipping cost.

*Postage & Handling Outside US/Canada: Mail sent US Post Office Global Priority. We will email you with actual rate.

MARY JANE TODD, CDA

How to Order

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