Zia Design Group/Zia Maps Order Form

I'm sorry but we are not set up with a web secure ordering site. Please print this form, fill out and FAX to 303.444.9391.

You can also print out this form and mail to;Zia Design Group
695 Left Fork Road
Boulder, CO 80302 USA
Questions to: ziadesigngroup@yahoo.com or leave a message at 303.444.9391 (Boulder, Colorado)metro

Last name
First name
Street address
PO box
City
State/Province
Country
Zip code

Phone number (day time)
FAX number
Occupation


1. Zia Landform Images CD-rom, v1.0, copy x $50 = $ Total


1a. View to the West, Colorado Front Range poster (paper), copy x $15 = $ Total
1b. View to the West, Colorado Front Range poster (laminated), copy x $25 = $ Total
2. Colorado Front Range & Beyond poster (paper only), copy x $16 = $ Total
3. Rocky Mountain National Park poster (paper only), copy x $20 = $ Total

Prints will be rolled and shipped in tube. $4 minimum handling/packing fee plus shipping cost.


Subtotal amount $
Tax (CO res. pay 4.5%) $
Shipping amount; $

Overnight, $20 2nd day, $13 UPS, $7 US mail, $3


Total amount $


Credit card payment

VISA/MasterCard number
Expiration date
Name on card

Product Ordering Information
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zia design group revised 11-1-04