WRITERS' Journal Logo Shop Order Form

Print      and Fax to:   218-346-7924                            or mail to:     Logo Shop
                                                                                                            Val-Tech Media
 Credit Card Phone Ordering: Call 218-346-7921                              P.O. Box 394                                                                                                              Perham, MN 56573-0394                                       Ship to (U.S. and Canada only):

Name___________________________________________________   
Address________________________________________________   
City________________________ State_______ Zip________ Country____________________   

Payment Information:
Check Enclosed
Make checks payable to: Val-Tech Media          

Credit Card Ordering - Card Holder Info
VISA  or  MasterCard
Card Number _______________________________________
Exp. Date______________
Credit Card Holder if different from above:
Name________________________________________________   
Address_____________________________________________   
City________________________ State_______ Zip________ Country____________________

           Item # - Description           | Size |Quantity |Price each |  Total  |
----------------------------------------------------------------------------------
                                          |      |         |           |         |
----------------------------------------------------------------------------------
                                          |      |         |           |         |
----------------------------------------------------------------------------------
                                          |      |         |           |         |
----------------------------------------------------------------------------------
                                                            Subtotal   |         |
---------------------------------------------------------------------------------- 
                              MN residents please add 6.5% sales tax   |         |
----------------------------------------------------------------------------------
                              Shipping and handling (see chart below)  |         |
----------------------------------------------------------------------------------
                                                             TOTAL     |         |
----------------------------------------------------------------------------------
      Shipping and Handling
  Order Amount	 Shipping Charge
  Up to $30.00          $5.00
30.01 to 75.00 	       6.00
    Over 75.00     Please Call 218-346-7921
Back to Logo Shop

| Home | Contact Us | About Us | Advertise With Us | Advertiser's Links | Contests |Site Map |