Thoughtful Creations Purchase Order Form

           

Product Qty Each Total Price

Genbox Family History 3 - Download Only
Single-user license by Email _____ 29.95 USD ____________
Genbox Family History 3 - Delivery on CD
CDROM mailed to address below _____ 39.95 USD ____________

Ohio residents only -- please add 6.5% Sales Tax: 

____________
TOTAL (USD): ____________

If paying by Credit Card - Credit Card Number:   

______________________________

 Expiration Month / Year:   

_____ / _____

 Card Verification Value:   

_____   (last 3 or 4 digits in signature area on  back side of card)

 BILLING ADDRESS:  

 SHIPPING ADDRESS (if different):  


FIRST NAME   ______________________ FIRST NAME   ______________________
LAST NAME   ______________________ LAST NAME   ______________________
COMPANY   ______________________ COMPANY   ______________________
ADDRESS 1   ______________________ ADDRESS 1   ______________________
ADDRESS 2   ______________________ ADDRESS 2   ______________________
CITY   ______________________ CITY   ______________________
STATE/PROVINCE   ______________________ STATE/PROVINCE   ______________________
ZIP/POSTAL CODE   ______________________ ZIP/POSTAL CODE   ______________________
COUNTRY   ______________________ COUNTRY   ______________________
PHONE   ______________________
EMAIL ADDRESS   ______________________
DATE   ______________________
  Please mail payment and this order form to:  
  THOUGHTFUL CREATIONS
PO BOX 58637
CINCINNATI, OH  45258
USA
 

Payments sent to this address must be in the form of a U.S. bank check drawn on
 U.S. funds, an international money order, or by VISA, Mastercard, Discover, or American Express.

Thank you for your order!