Reflections of Asia

Reflections of Asia -  philippine  booksellers
 Order Form
Please fill in all of the boxes below.
If you wish to pay via money order or personal check,
fill out all information except the credit card box.
Especially important is your e-mail address or telephone number 
(in case of questions we might have)
Contact information:
regular mail * (slow mail) 
Reflections of Asia
6301 Misty Wood Way, Citrus Heights, CA 95621    email* jun@reflectionsofasia.com

TEL. (916) 723-8528      FAX. (916) 723-4228     
 		

VISA , MASTERCARD, Personal Check, International Money Order ACCEPTED
please note: we do not have a printed catalog or brochures,
 our web sites is our catalog, 	"tell a friend about us"
                  
	Thank you for your support sa tunay na Pilipino web site

Please provide the following contact information:

Name

Street address

Address (cont.)

City

State/Province

Zip/Postal code

Country

Contact Phone

E-mail

Please provide the following ordering information:

pag- hindi enough ang space sa mga order ninyo puede pong email (jun@reflectionsofasia.com) ang orders.

QTY DESCRIPTION

BILLING

Credit card

Cardholder name

Card number

Expiration date

SHIPPING

Street address

Address (cont.)

City

State/Province

Zip/Postal code

Country

*Name*
*Street address*
*Address (cont.)*
*City*
*State/Province*
*Zip/Postal code*
*Country*
*Contact Phone*
*E-mail*

	BILLING
*Credit card*
*Cardholder name*
*Card number*
*Expiration date*

	SHIPPING
*Street address*
*Address (cont.)*
*City*
*State/Province*
*Zip/Postal code*
*Country*

Copyright www.reflectionsofasia.com Last revised: July 07, 2012

Copyright www.reflectionsofasia.com
Last revised: July 07, 2012