Gaia Guides
Purchase Order Form

Privacy statement

We never release or sell any data about individual customers to anybody. Ever. Period.
The only information we do release are summary statements like:
"Mississippi.com is now carrying our travel guides at ..." and
"Books&Mobiles sold 10 million Gaia Guides titles in the year 2525"

To:
Gaia InterMedia
4248 Spencer Street
Torrance, CA 90503
www.gaiaguides.com

Please use TAB key to move to the next entry field,
use the ENTER key only to send the form!

From: Date [mm/dd/yyyy]:

Your company name:

Street address:

City: State: ZIP:

Shipping address only if different from above:

Name:

Address:

City: State: ZIP:

Account number:
new US customers: please type above your resale permit number,
plus the issuing authority phone number:
and - unless you can safely assume that your great reputation has reached us - type in 2 references (bank and/or trade) in the Comments below

Person ordering:

PO or tracking number:

E-mail address:

Phone number:

Fax number:

Please select the titles and quantities:

Southern California SRP: US$19.95
Quantity: Your price: from table below
Shipped barcoded as:
UCC 698981001002
ISBN 0-9701718-0-3

Las Vegas, Grand Canyon, Bryce & Zion NPs
Available now! SRP: US$18.95
Quantity: Your price: from table below
ISBN 0-9701718-2-X

Prague + Czech Republic SRP = US$ ?
Quantity: N/A

Terms: Net 30 days. Free Shipping on US/Canadian orders totaling 30 or more pcs.
No handling charges are added.

Ordering pieces	Discount %	if SRP is US$:	You pay US$ each:	if SRP is US$:	You pay US$ each:
1	25	19.95	15.00	18.95	14.20
2-29	45	19.95	11.00	18.95	10.40
30 or more	50	19.95	10.00	18.95	9.50

Please add any comments:

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Gaia GuidesPurchase Order Form

Privacy statement

Please select the titles and quantities:

Gaia Guides
Purchase Order Form