Low Tech Fax


Fax / Mail Order Form
Click file on your browser's tool bar and choose "print" from the drop down menu.
Name, Address, City, State, Zip Code and E-mail Information:
	________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________
Items Ordered: for membership please see member page
	Book Title: _______________________________________________________________ Book Title: _______________________________________________________________ Book Title: _______________________________________________________________ Other goods: _____________________________________________________________
Credit Card Information:
	Circle One: VI / AM / MC / DC / DI
Account Number: _______________________________ Expiration Date: ___ / ____
	Do you wish email correspondence from us? yes ___ / no ___ email address: ______________________________________________________
	Please supply your telephone number for verification of orders sent by this method. Thank you for your patronage... Please return your completed and signed application and check to: Timson Edwards, Co. PO Box 55-0898 Jacksonville, Florida 32255-0898 If paying by credit card, please print out and complete this form and mail it with a copy of the front and back of the card and driver license as proof of authorized use to the address. If you prefer to pay by email using PayPal send us an email to the link below.
	email your request for payment link here Back to home page