Journey into the Brain© Order Form
Name________________________________________________________
School/Company _______________________________________________
Address ______________________________________________________
City ________________________State________Zip___________________
Phone (_____)_____________________ Fax (_____)__________________
E-mail________________________________________________________
Shipping Address (If different from above.)
Name_________________________________
Address________________________________
City ________________________State________Zip_____________
All prices are in U.S. Dollars.
Products will be shipped ground unless otherwise requested.
Additional charges for air shipment will be applied.
| Item | Quantity | Price each | Total Price |
| Journey into the Brain | $34.95 | ||
| Subtotal | |||
| Sales tax: 7.25% (California only) | |||
| shipping and handling 1 item $6.95 | |||
| Each additional item $2.00 | |||
| Total |
Call for shipping charges outside of the continental U.S.
Payment by check only, made payable to Velvet Brainware.
Order by mailing order form and
check payable to:
Velvet Brainware
104 Wimbledon Way
San Rafael, CA 94901
Phone: 415.331.5010
Fax: 415.331.5014