Printable Order Form

www.patriciajepsen.com

Please print out this order form and send payment by check or money order to:

University of Melchizedek
P.O. Box 2481
Grants Pass, OR 97528 USA

You may contact us at any time by e-mail or phone at 435-689-0784.

Name ________________________________________________________________________________

Mailing Address _______________________________________________________________________

______________________________________________________________________________________

E-mail Address
 
__________________________________ Today's Date ________________________ 

Phone Number ________________________       Best Time of Day to Call _______________________

DELIVERY INSTRUCTIONS:

If the order is to be sent to a different name or address than the one shown above, please include this information below. Please add any other special instructions that you have for this order. We will e-mail or telephone you if we have any questions about filling your order.

Name _________________________________________________________________________________

Mailing Address ________________________________________________________________________

_______________________________________________________________________________________

Special Instructions _____________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

AMOUNT ENCLOSED (U.S. dollars)* _____________

*PLEASE NOTE: Order Total should include postage.

Use our postage guidelines below to calculate postage.

***ALL PRICES SHOWN ARE IN US DOLLARS***

TITLE

PRICE PER UNIT

QUANTITY

TOTAL COST

The GodSelf

$17.95
   
The Workbook

$13.95
   
Delphi

$15.95
   
Six Lessons with Delphi

$12.95
   
Teaching Delphi

$ 8.00
   
Listen to the Land

$ 6.00
   
Let's Be Safe

$15.00
   

Total Title Cost =
 

Total Postage =
(Use our postage guidelines below to determine postage.)
 

Order Total =
(item cost plus postage)
 

POSTAGE GUIDELINES:

U.S. addresses:
For items which cost less than $8, add $2/item for mailing.
For items which cost $8 or more, add $3/item for mailing.

Addresses outside the United States:
For items which cost less than US$8, add US$3/item for airmail.
For items which cost US$8 or more, add US$5/item for airmail.

Large Orders:
The postage for large orders may be less than the amount determined by the guidelines above.

For all credit card orders, we will notify you if we are able to reduce your postal fees.

For check and money order orders, you may want to e-mail or telephone us at 435-689-0784 to determine your postage before mailing payment.

If you need an order by overnight or priority delivery, e-mail or telephone us at 435-689-0784 and we will indicate what the fees will be for a faster delivery time.