Pro-Choice Resource Project Online Order Form


To use this form, you can:
1. Fill out the form and submit it now for online ordering or,
2. Print this page and use it to:
... Mail your order - (Pro-Choice Resource Project P.O. Box 1122 Arcata CA 95518)
... Fax your order - (800-829-6202 24hrs. a day, toll-free)
... Phone your order - (707-822-6202)
Name:
Address:
City:
State:
Zip:
Phone:
Email:
Fax:

QTY

ITEM#

DESCRIPTION

PRICE

AMOUNT

(for T-shirts, please include size and color)
(each)
(line total)
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
Method of Payment: We are currently in the process of securing our credit card transactions. If you feel uncomfortable about transmitting please leave the credit card field blank and call us @ 707-822-6202
Check / Money Order (please send with printed form only.)
VISA MasterCard C.O.D.
$20 minimum on VISA/MC orders. Add $7 for C.O.D.

Account Number:
Expiration Date: . (mm/yy)
Subtotal $
Tax 7.25% (CA only) $
Shipping & Handling $
RUSH (Add $3.00) $
C.O.D. (Add $7.00) $
Total $

Signature (printed forms)______________________________
Standard Shipping and Handling Charges (based on subtotal) please allow up to 2 weeks.
Up to $25 $25.01-$50 $50.01-$75 $75.01-$100 $100.01-$150 $150.01-$200 $200+
$4.50 $7.00 $9.00 $11.00 $13.00 $16.00 6%
Faster Shipping Options:
Rush my Order Please add $3.00 to shipping and handling to have your order filled within 2 working days of our receiving it. This is an in-house proirity service, but does not upgrade the shipping method to 2nd day.
2nd Day Air Double the standard shipping rates plus the $3.00 RUSH fee. You must give us a street address and phone number for UPS delivery. Sorry, no C.O.D.'s on UPS delivery.
In Case we're out of an item:
Backorder and send when available Substitute similar item Credit the difference Delete
For shipments outside the continental USA, please call (707)-822-4229
Be sure your order is complete!
All prices subject to change without notice.
All items subject to availability.