PRINTABLE ORDER FORM
Please fill out the blank order information and Mail or fax to:
 Rev. JoAnn  Corsiatto  P.O. Box 279 East Texas, PA 18046  Phone: 516 753-0191
When Paying By Check -
Make Checks Payable To : Golden Key Books or  Rev. Cecil Corsiatto

e-mail ccors111@yahoo.com

Today’s Date________ Name____________________________________________________________
Address_______________________________________________________________
City _________________________________________State_________ zip___________
 E-mail ____________________________        Phone _________________________
Charge Card #
____________________________________________ Exp  ___________

                    Product Name                                                                                           Cost/Item       Quantity      Total Price  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 DOMESTIC SHIPPING RATES                                                 INTERNATIONAL SHIPPING RATES
TO $6.00   $2.25                                                                                    TO $35.00   $12.49
TO $10.00  $3.50                                                                                   TO $70.00   $25.00
TO $20.00  $5.50                                                                                    TO $100.00  $37.50
TO $60.00  $7.00
TO $100.00 $10.00
TO $200.00  $20.00
Above $200.00 $30.00

                                                                                                                                                 Sub Total        Postage

Subtotal with Postage

 

 

Total Cost

 

    Special Instructions ______________________________________________
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