1962 Seattle World's Fair - Century 21

ORDER FORM

Please print this form out and mail it with your payment to:

Bill Cotter
17242 Van Gogh Street
Granada Hills, CA 91344

 

Item Number Ordered Price Each Total
Seattle CD Number #1   x   $10  
Seattle CD Number #2   x   $10  
Seattle CD Number #3   x   $10  
Seattle CD Number #4   x   $10  
Seattle CD Number #5   x   $170  
Seattle CD Number #6   x   $170  
Seattle CD Number #7   x   $170  
Seattle CD Number #8   x   $170  
Seattle CD Number #9   x   $170  
Seattle CD Number #10   x   $170  
Seattle CD Number #11   x   $170  
Seattle CD Number #12   x   $170  
Seattle CD Number #13   x   $170  
Seattle CD Number #14   x   $170  
Seattle CD Number #15   x   $170  
Seattle CD Number #16   x   $170  
Seattle CD Number #17   x   $170  
Seattle CD Number #18   x   $170  
Seattle CD Number #19   x   $170  
Seattle CD Number #20   x   $170  
Seattle CD Number #1-20 Set   x   $10  
Images of America book   $20  
Images of Modern America book (color)   $20.70  
Shipping - US only. Please inquire as to international rates.   $10.20
Total - include your check or money order for this amount >>>>>>>>>
US dollars only, please.
 

For book orders, please indicate if you would like the book signed in any special way, just signed, or left unsigned. If nothing is indicated the book will be sent signed.

 

 

Please include the following information. Print legibly to help speed your order.

Name  
Street Address  
City, State, Zip  
E-mail address - to be used only if there is a question about your order.  

 

If paying by credit or debit card:

Name on card  
Card number  
Expiration date  
CVV code  

The CVV code is the 3digit-number on the back of the card. Card numbers are not retained or filed in any way.
Checks may take 10 business days to clear.