Baja California Poster Credit Card Order Form
Please fill out this form clearly and fax to
619-275-1793 or mail to:
Earthstar Geographics
1437 Morena Blvd., #100-C
San Diego, CA 92110
(For questions, call 619-275-1701)
Name: ___________________________________________
Address: ___________________________________________
___________________________________________
City: ________________________ State: ____________
Zip
Code: ________________
Phone: ___________________________
Email: _____________________________________
(Phone/email not required, but helpful if there is a problem with your order.)
Product Ordering and
Total:
Number of standard posters at US$24.95: _______
Number of laminated posters at US$29.95: _______
Total $ amount: __________
Credit Card
Information:
Card
Type: VISA ______ MasterCard ______ American Express ______
Card
Number: ____________________________________________
Expiration
Date: _________________
Name
on Card: __________________________________
Signature: __________________________________
Note: All product prices include applicable taxes
and shipping within the United States.