Delfyn Software Offline Printable Order Form

Desktop Dolphin Coloring Book

This printable form is provided for offline orders sent by regular postal mail.

Name: _______________________________________________________________________
Address: _______________________________________________________________________
Address: _______________________________________________________________________
City: _________________________ State/Province: _____________ Zip Code:_________
Country: _________________________ Phone Number: ______________________________
Email:
 _____________________________________
(please print clearly) 		Alternative Email:___________________
 

Check the version of Desktop Dolphin Coloring Book you wish to purchase:
Qty  
Price USD
Amount Due
  Download (Your Personal Registration Code will be sent by Email to register your program)
$14.95 $9.95 
  
  CD-ROM
$19.95 $14.95  
  
 
(Orders within the U.S.A. - Free / Canada $3.00 / International $5.00)   Shipping 
 
 
Subtotal 
  
 
Washington State residents add 7.5% Sales Tax  
  
   
Total Amount 
  

 

Payment Method
  ___ Check or Money Order Payable to Delfyn Software
Orders outside the U.S., please send International Money Order
  ___ Credit Card
   ___ Mastercard   ___Visa    ___Diners Club
Card # ________________________________________ Expiration Date: __ __ /__ __ (MM/YY)
Cardholder's Name:_________________________________________ Zipcode:______________

Please mail this form along with payment to:

Thank you for your Order!

Delfyn Software
P.O. Box 421
Ione, WA 99139