Please Note: FL residents MUST add appropriate sales tax. No Cash or non-U.S. Checks or Money Orders, please.
ADVANCE ORDER FORM - MESSAGES FROM THE MASTERS
For FAX / MAIL orders , PRINT this page and fill in ORDER INFORMATION
Fax: (305) 661-5311 Phone ( 305 ) 661 - 6610
MAIL: The Weiss Institute - 6701 SUNSET DRIVE, Suite 201 - MIAMI, FL 33143
MESSAGES FROM THE MASTERS
a paperback edition
signed by Dr. Weiss | QTY | PRICE | Total |
| [________] | @ 14.00 each | ______.__ |
| Shipping and Handling | 3.00 |
| FL sales tax | ______.__ |
| THIS ORDER - Grand TOTAL > | $ ______.__ |
| [___] Visa | [___ ] MasterCard | [___] Check/ Money Order |
Acct. Number __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Expiration Date _____/_____
Print exact name as it appears on credit card:________________________________________
Signature:___________________________________________
| Mail to: Name ______________________________________ | e-mail: ___________________________
Phone: (______)___________________ |
Address______________________________________________________________
| City/State________________________ Zip____________ | County
(if in Florida)_________________ |
|