Fearless Order Form

Is this your school address?

 

 

Would you like a copy of our catalog?

 

 

International Shipping

 

 

Canada &

Mexico $14.50

 

 

All other countries $19.50

 

 

*Please contact us by email

to verify international shipping.

 

Text Box: 340 Rocky Hill Way l Bolivar TN  38008-3824 l 731-659-2368 ph/fax
Text Box: 2011

Account

number

Exp. date

signature

School Purchase Order

Minimum $25 purchase.

Sorry, individuals

cannot be billed.

METHOD OF

PAYMENT

If you would like to receive our emailed newsletter once a month, please include you EMAIL address here:

 

We do not share your email address, or any other customer information,

with anybody - ever.

Quantity

Item #

Name of Item

Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subtotal

 

 

U.S. SHIPPING: Under $10.00 - $4.75; $10.00 & Over - $5.95

 

 

 

Another Subtotal

 

 

Tennessee residents please add 9.25% sales tax

 

 

 

Total Amount Due

 

 

 

 

 

 

Check

Enclosed

Visa

Master

Card

Discover

3 digit security code

back of credit card

NAME

SCHOOL NAME (IF SCHOOL ADDRESS)

ADDRESS

 

CITY                                                                           STATE                       ZIP CODE

PHONE #