General James Baxter Order Form
Please enter the
quantity for each item you would like to purchase.
The General Shall Have Books, Pamphlets and Merchandise Soon. So
Please Come Back.
| Item # |
Qty |
Price (US$) |
Shipping Cost (US$) |
Credit Card Number: Expiration Date: mm - dd - yy
Billing Address:
First Name:
Last Name:
Organization:
Street Address 1:
Street Address 2:
Apartment #:
City:
State/Province:
Zip/Postal Code:
Country:
Phone:
Fax:
E-mail:
If the shipping address and the billing address are the same,
please check here and leave
the shipping address blank.
Shipping Address:
First Name:
Last Name:
Organization:
Street Address 1:
Street Address 2:
Apartment #:
City:
State/Province:
Zip/Postal Code:
Country:
Phone:
Fax:
E-mail: