Discovery Tools and Workshops Fax Form


Discovery Tools and Workshops Fax Order Form Fax number: 1-360-458-0918• Customer Service 1-866-436-4796 Please Call Customer Service at 1-866-436-4796 or International 1-360-458-2309, before faxing so we may prepare our fax machine
*Use this form to fax your billing information.*
1. Enter Your Address Information
Company:	Billing Address ____________________________			Shipping Address (If Different from Billing) _______________________________________
Contact:	____________________________			__________________________
Street Address:	____________________________				____________________________
City, State/Province:	____________________________				____________________________
Zip/Postal Code:	____________________________		Country:	____________________________
Telephone #: Fax #:	__________________________ __________________________			____________________________ ____________________________
E-Mail:	____________________________
2. Supply Payment Information - Credit Card or Debit Card.
Credit Card # (if appl.):	__________________________		Exp. Date:	___________________________
PO# (if appl.):	__________________________			___________________________
Signature:	____________________________
3. Include your order number or fill in all of the fields below. Order number_________
Item #	Quantity	Price			Title More titles listed on seperate sheet?	Yes
_________	____________________________				___________________________
_________	____________________________				___________________________
_________	____________________________				___________________________
_________	____________________________				___________________________
_________	____________________________				___________________________
Order Total:	___________________________ If paying by check, mail payment To: Discovery Tools and Workshops P.O. Box 2590 Yelm, WA 98597 U.S.A.		Total with shipping___________________ Your Shipping Cost and Order Total will be Included in Order Receipt Sent to Your Email Address Click Here for Details A confirmation e-mail or phone call will be placed to you once your order is processed.