Safety Publishers Clipart Order Form

Your Name:		-	-
Agency Or Company:		-	-
Your Address:		-	-
City:		-	-
State:		-	-
Zip Code:		-	-
Country:		-	-
Phone:		-	-
Email Address:		-	-
Website Address:		-	-
SELECT YOUR ITEM(s) AND QUANTITY:		-	-
	$45.00 Each -- FIRE CLIPART: Includes 1-CD And Reference Guide Book	Quantity:	Price:
	$35.00 Each -- EMS CLIPART: Includes 1-CD And Reference Guide Book	Quantity:	Price:
	$69.00 Each -- FIRE & EMS CLIPART PACKAGE: Includes Both CDs & Both Reference Guide Books	Quantity:	Price:
.	FREE Shipping In The Continental USA Add $5.00 Outside The Continental USA Add $15.00 For Shipping To Canada	Shipping Charge:
Sales Only Within The USA & Canada		Total Price:
.	ENTER YOUR PAYMENT METHOD BELOW:	-
.	Credit Card Payment Via Paypal.Com Mailing Money Order For Payment Mailing Cashier's Check For Payment Mailing Regular Check For Payment	NOTE: We can ONLY accept credit card payments thru Paypal.Com!
.	Enter Your Purchase Order Number Here:
.	If Providing A Purchase Order Number, We Will Send You An Invoice Before You Submit Payment. If You Are Not Using A Purchase Order Number, Please DO NOT Click Either Item Below ! If Providing A Purchase Order Number, Please Indicate How You Wish To Receive Our Invoice:	-
.	Mail Me An Invoice Send An Invoice As An Email Attachment	<==== Click Here ONLY If Providing A Purchase Order Number!
.	YOUR COMMENTS, OR ADDITIONAL INSTRUCTIONS	-
.	.............. Thank You For Your Order!	-