EVEREST GLOBE ONLINE RESERVATION FORM
(Print this form for mail-in or fax orders)
BILL TO: (Must match the credit card billing address) SHIP TO:
Name:
  
Company Name:
  
Street Address:
  
City, State, Zip Code:
  
Phone:
  
E-mail:  
 

INSCRIPTION (up to six lines)
1   
 2  

 
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TOTAL CHARGE (including "white glove" delivery, by appointment):$7,990.00

CREDIT CARD AUTHORIZATION
Visa (   )  MasterCard (  )   Am-Express (   )
Card Number:                                                          Exp. Date:_______
Cardholders Name:

Please send checks or money orders, payable in U.S. funds to:

1-World Globes & Maps
1605 South Jackson Street
Seattle, WA  98144

You may call toll-free 1-877-884-2402 to
commission your Everest Globe
or..Fax your order to:  (206)781-1401