Galen Press Mail or Fax Order Form

Please print, and mail or fax this form back to us.
HOME | ORDER OPTIONS
DO NOT send credit card information by e-mail. 
Please use our secure online order form instead.


Ordered By:

Name __________________________________________________

Company _______________________________________________

Address ________________________________________________

Address2 _______________________________________________

City _____________________ State _________ Zip _____________

Country _____________    Daytime Phone (______ ) _____________

(Phone number required with all orders for use if we need to clarify your order.)

Email _______________________________________________

Send shipment to: (If same as above, please leave blank.)

Name __________________________________________________

Company _______________________________________________

Address ________________________________________________

City _____________________ State _________ Zip _____________

Country _____________    Daytime Phone (______ ) _____________

If this is a gift, please include a message:

_______________________________________________________

_______________________________________________________


Method of Payment

Check/money order: Payable to Galen Press, Ltd. In U.S. funds and drawn on a U.S. bank.

Purchase Order: Net 30 days. Accepted in writing, by fax or mail, on institutional letterhead from existing accounts, schools, or government agencies only. If you fax your order, do not mail a confirming order.

VISA      Mastercard     (circle one)

Card Number _____________________________________

Card Verification Number _______________ (what is this?)

Expiration Date ________

Signature____________________________________________

Name on card ________________________________________


Your Order

Quantity
Catalog #
Title or Description
Price Each
Total Price

Subtotal          

Sales Tax (AZ residents add 8.1% tax)        

  • Regular Mail (7-12 days): $3.99 for each item.
  • Priority Mail (2-3 days): $6.99 for each item.
Shipping/Handling:

Total:        

Shipping & handling charges are for U.S. destinations, and may vary for multi-item orders.
Please fax or call for exact charges on large orders, United Parcel, overnight delivery, and delivery outside the U.S. 

Quantity discounts available on selected titles. Prices subject to change without notice.


Return Policy

Returns will be accepted within thirty days for items other than software if the items and the invoice are returned to us (at your expense) in salable condition. We will refund only the purchase price of the item(s) returned; we cannot refund shipping or handling charges. Defective software will be replaced if returned to us.


Send completed form & payment to:

Galen Press, Ltd.
P.O. Box 64400-WB
Tucson, AZ 85728-4400
USA

Fax: (520) 529-6459
Tel: (520) 577-8363

sales@galenpress.com


Copyright 2001-2013 Galen Press, Ltd.