Mail Order Form
Print this page and complete your order
Caregivers' Comfort® Journal & Record Books $ ______.___
____ Books @ $22.95 each
Sales tax: $ ______.___
Florida residents only must include 6.0 % ($1.38 per book)
Shipping and handling per book $ ______.___
____ Books @$6.95 each
TOTAL AMOUNT $ ______.___
Payment Method: Check one of the following choices
Check___ Money Order____ VISA ____ MasterCard____ Discover____
For credit cards: Account #: _________________ Exp.Date: ______
Signature: ___________________________________
Payment Instructions: DO NOT SEND CASH
Make checks/money orders payable to: Caregivers' Comfort Creations™ LLC
Credit Card orders may be faxed to: (941) 360-3581
Mail completed order form including shipping information to:
Caregivers' Comfort Creations™, LLC
8374 Market Street # 129
Lakewood Ranch, FL 34202-5137
Shipping Information:
Name_______________________________________________________
Address_____________________________________________________
City _____________________________State _______Zip Code_______
Phone number ______________________E-mail address ____________
