Shirt Order Form

Name
Date

MonthDayYear
INSTRUCTIONS ON OUR ORDERING SYSTEM:

For our customer's safety we have disabled our online credit card service.

You may use the shopping cart to calculate your costs then contact the Author for payment via email.

We will call you and are able to process all credit cards securely via telephone. This way there is no chance of a security breach.

For customers that wish to not use an email address and would prefer speaking directly to the Author, he/she may do so by calling 985-893-1402 to process the order(s) and payment(s).

SHIPPING INFORMATION:

FLAT RATE / REGULAR SHIPPING = $ 4.75

PRIORITY MAIL WITH SHIPPING HANDLING = $ 12.65
ONLY CHILD - COLOR
ONLY CHILD - SIZE
ONLY CHILD - QUANTITY
FIRST BORN - COLOR
FIRST BORN - SIZE
FIRST BORN - QUANTITY
SECOND BORN - COLOR
SECOND BORN - SIZE
SECOND BORN - QUANTITY
THIRD BORN - COLOR
THIRD BORN - SIZE
THIRD BORN - QUANTITY
FOURTH BORN - COLOR
FOURTH BORN - SIZE
FOURTH BORN - QUANTITY
LIFE'S FINGERPRINT - BOOK - QUANTITY
LIFE'S FINGERPRINT - DVD - QUANTITY

SHIPPING DETAILS
First Name
Last Name
Email Address
Phone Number
Street Address
Street Address Line 2
City
State
Zip Code
Payment by Credit Card VIA PHONE.
Please check off the selected items to confirm order:
We do offer PRIORITY MAIL ( 1-3 days ). After completion of this form, the author will contact you and apply the appropriate fee for your order.

SHIPPING INFORMATION:

FLAT RATE / REGULAR SHIPPING = $ 4.75

PRIORITY MAIL WITH SHIPPING HANDLING = $ 12.65
IMPORTANT:

AFTER EACH ONLINE FORM SUBMISSION, DR. HURST, THE AUTHOR, WILL CONTACT YOU PROMPTLY TO PROCESS YOUR COMPLETE ORDER(S) INCLUDING SHIPPING FEES VIA PHONE WITH CREDIT CARD.
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