<% On Error Resume Next OrderButtonText = "Order" CalculateButtonText = "Calculate Order Form" ContinueButtonText = "Continue Shopping" CheckOutButtonText = "Check Out on Secure Server" AlignForm = "Center" %> Mail Order Form

Web Site:  http://www.thescope2000.comThe Scope 2000 - "Helping You Expand Your Scope!"

If You Prefer to Pay by Mail - Please Print this Form, Fill it out and Mail it:

þ  Fill out your Shipping and billing address information

þ  Select your Payment Method

þ  Order the item and amount

Shipping Address: Billing Address (if different):
Name Name
Street Street
City/State City/State
Phone Phone
E-mail E-mail

Credit Card Information:

 Credit Card Name   
Credit Card #  
Expiration Date    
Checks or Money Orders:Personal Checks must clear before your products are sent out. Another option is a postal money order clears immediately.
 

Make checks payable to: Joan P. Garcia

 
Mail form & payment to:

Joan P. Garcia

The Scope 2000

135 Ocean Parkway

Brooklyn, NY  11218

 

 

Description of ProductPriceQuantityTotal Price

12 Zodiac Signs Screensaver on CD - with Music (plus all of the 12 free Zodiac Screen Savers)

$9.95

12 Zodiac Signs Screensaver on CD - without Music (plus all of the 12 free Zodiac Screen Savers)

$9.95

Circle the 3 Free Zodiac Screen Savers to be sent with the 12 Zodiac Signs Screen Saver:
AriesTaurusGeminiCancerLeoVirgoLibraScorpioSagittariusCapricornAquariusPisces

SUBTOTAL

U.S. Priority Mail - Please Add $4.60 for each Screensaver

New York State Residents - Must Add New York Sales Tax - 8.25%

TOTAL

Questions about your Order? E-mail: orders@thescope2000.com; (718) 972-7563