ORDER FORM Temperate Forest Foundation (Fax or Mail)


Name: __________________________________________

Address: ___________________________________________________________

City, State, Zip: _____________________________________________________

Phone: _____________________    Fax: ________________________ 

E-mail: _______________________________

Credit Card: (please circle one) Visa / MasterCard

Credit Card Number: __________________________________ Exp. Date________

Personal Check Number:________________________

  Product Price Quantity Total Price
1   $   $
2        
3        
4        
5        
6        
7      

 

TOTAL

$

Shipping & Handling (See below)

$

Grand TOTAL

$
 
Shipping and Handling
If Total is... Then add S&H...
Up to $25.00 $4.00
$26 to $50 $7.00
$51 to $100 $11.00
$101 to $200 $22.00
For totals over $200, please call 1.503.445.9472
or e-mail us for S&H charges

Print out and Fax to:

1.503.459.4849

Print out and Mail to:
Temperate Forest Foundation
10200 SW Greenburg Rd, Suite 400
Portland, OR 97223