Course Order Form

Taras Techniques, LLC Order Form

Please read the Terms and Conditions prior to ordering

 (If you are unable to print using this button, print from your web browser's print option.)

Follow the instructions on the form and mail or fax to the address listed below.

Mailing Address:
TARAS TECHNIQUES LLC
15000 Washington St, Suite 240B
Haymarket, VA 20169 USA
Fax Number:
(703) 636-4123

 


Please print clearly or type.

No personal checks are accepted. We do accept all major credit cards, company checks, money orders and bank checks.

Bill To:

First / Last Name:

 

 

Company:

 

 

 

Address:

 

 

 

City:

 

State:

 

ZIP:

 

Country:

 

Phone:

 

E-mail:

 

Fax:      

How did you find us on the Internet? (Yahoo, Exite, Info Seek, Web Crawler, etc.)
What was your search word(s)? ___________________________________________

Ship To: (If different from 'Bill To' or Gift for Another Person)

First / Last Name:

 

 

Company:

 

 

 

Address:

 

 

 

City:

 

State:

 

ZIP:

 

Country:

 

Phone:

 

E-mail:

 

Fax:      

All P.O Box and Military Base address will be shipped via US Priority Mail.

 

Program/Product Order Form:

Course Name Quanity: Cost:
     
     
     
     
     
     
     
Sub-Total:
 
Shipping Charges (see below):
 
Grand Total:
 

Shipping Charges

Shipping Method Cost:
U.S. FREE Shipping (within the Continental U.S.) $0.00
Military Addresses $0.00
U.S. Hawaii, Alaska, Puerto Rico $20.00
Canada Standard $30.00
Int'l Standard (Estimated shipping cost. Additional fees may apply.) $50.00

Credit Card, Bank Check and Money Order Payment:
Credit card, Debit Card, Bank Check, Money Order, U.S. funds only

Payment Information: Credit Card:
(circle option)
Visa or MasterCard or AMEX or Discover Card Other Payment:  (circle option)

Cashier's Check or Money Order

Make payable to: TARAS TECHNIQUES LLC

Name on the Card:  
Credit Card Number:  
Card Expiration Date:  
CVC Code*  
Your Signature:  

*Visa and Mastercard
In the signature box on the back of your Visa you should see a 16-digit credit card number followed by a special 3 digit code. This 3 digit code is your CVC.

American Express
On the front of your card next to your main credit card number look for a 4 digit code. This 4 digit number is the Card Security Code.

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