Sage Butterfly Design, Video & Seminars

If you prefer to print this form out and mail in your order, please send to:
sage butterfly design, video & seminars
attn: kelly
8059 kayak way
blaine, washington 98230

or fax to: (360) 371-7466- please call first prior to faxing.
MBTI® ASSESSMENTS: $79.00 PER PERSON - $129.00PER COUPLE . (NO SHIPPING FEE / NO WA. STATE TAX)

ASK ABOUT GROUP DISCOUNTS.
---------

POETRY BOOKS: $10.00 PER BOOK PLUS $2 SHIPPING AND WA. TAX WHEN APPLICABLE.

VEGGIE PATCH SQUEEZIES: $4.00 PLUS $2.OO SHIPPING / SMALL CARDS: $1.5O - LARGE CARDS: $2.00 (NO SHIPPING/ TAX WHEN APPLICABLE.)
Item: Quantity: Price: Total:

Shipping & Handling:
$2.00 per item (except for Myers-Briggs® Personality Assessment - no shipping fee/ no state tax.)

Washington Residents please add 7.9% sales tax.

Subtotal:
Shipping & Handling:
Sales Tax (WA residents):
Total:

NAME:
ADDRESS:
CITY:
STATE:
ZIP:
PHONE: (incl. area code)
EMAIL:
FAX:
METHOD OF PAYMENT:

Credit Card (see below)
Check or Money Order

CREDIT CARD INFO:
VISA
MASTERCARD
Credit Card Number
Exp Date:
Name on Card:

Any comments or suggestions: