Assistant Secretary Purchase

Assistant Secretary home page: click here
Assistant Secretary purchase page: click here
(Note: this page left blank of colors/pictures in order to help you print faster)

PURCHASE THE ASSISTANT SECRETARY THROUGH THE MAIL
BY CHECK OR MONEY ORDER

You can type in the information now and print the form out or you can print the form and hand write the information later.

Qty	Description	Unit Price	Total
	Assistant Secretary 3.5	$99.50
	Assistant Secretary 3.5 SE	$74.50
	Assistant Secretary 3.5 LT	$00.00 (pay shipping)


		Subtotal
	Shipping Priority mail: $5.25
	Optional -- Shipping Insurance (domestic)	$1.25
	Optional -- Shipping Insurance (overseas)	$4.75

		Balance due

To pay by Credit card:

Credit card type (check one): Visa \| Master Card \| American Express \| Discover
Card Number (double check):
expiration date
Billing address:



Telephone number: (note: If your billing address is different from your shipping address you MUST give a telephone number):

Name and address you would like the CD shipped to (please print legibly). You can type in the information now and print the form. Check here if shipping address is same as billing address.

Your e-mail address:

Only include your e-mail address if you want us to send you an e-mail once your order ships.

Mail this form with a check or money order (if credit card details are not filled out): (remember: do not send cash through the mail!):

JTM ESERVICES
PO BOX 521
BLACKSBURG, SC 29702-0521

THANK YOU FOR YOUR PURCHASE!

If you have any questions, please e-mail us at the contact section

PURCHASE THE ASSISTANT SECRETARY THROUGH THE MAIL BY CHECK OR MONEY ORDER

PURCHASE THE ASSISTANT SECRETARY THROUGH THE MAIL
BY CHECK OR MONEY ORDER