LearnToSail.Net Offline Order Form Print and fill this out, then mail or fax it in. _____________________________________________________________________________________ Company: Little Pines Multimedia 98 Sugar Run Suite #9 VT 05673 Tel: (802) 496-4061 Fax:801-849-4061 Email info@learntosail.net Telephone orders 9 AM - 5 PM EST Monday - Saturday Technical support 10 AM - 4 PM EST Monday - Friday; 10 AM - 12 PM EST Saturdays Name: ____________________________________________________________________ Mailing Address:____________________________________________________________ Shipping Address: __________________________________________________________ Town: _______________________________ State: ________ Zip: _________________ Country: ________________________________________ Todays Date: _______ Date Wanted: _______ Phone: _________________________ Shipping: We ship all orders to you by either priority mail or Airmail Overseas. If shipping Mail, add $7.50 to sub-total. Canada: add $12.00 to sub-total. US: Add $7.50 to sub-total for Priority Mail Add $16.00 to sub-total for Express Mail For International orders, Add $14.00 to sub-total What Level of Sailing are you? __________________________ Where did you hear of our CDROM? __________________________ Qty Price Each Total ___"Learn to Sail! with Multimedia!" CD/DVDfor Windows Vol I and II $34.95 ________ ___"Learn to Sail! with Multimedia!" CD/DVDfor Windows Vol I $19.95 ________ ___"Learn Coastal Navigation! with Multimedia!" CD/DVDfor Windows $23.95 ________ ___"Navigation Aid! Calculator Tool $24.95 ________ ___"The Mayflower's Pilgrims: In Their Own Words VOL I" CD for Windows $29.95 ________ ___"Monkey Fist Key Chain $6.99 ________ 5% MA Sales Tax : ________ (if living in MA) Include Line? (only with Learn to Sail) Yes, No _________ Subtotal: __________ Shipping US: Priority Mail: ($7.50 for 1 piece): ________ Express Delivery US Only: ($16.00 for 1 piece): ________ Shipping Canada: Priority Mail: ($12.00 for 1 piece): ________ Shipping International: ($14.00 for 1 piece): ________ Other: ________ ORDER TOTAL: ________ Method of payment: (Check one) Visa:___ Master Card:___ AMEX:___ Discover:___ Check:___ (make out to Little Pines Multimedia) Card # Expires: CCV Code Signature: Thank you for your order of "Learn to Sail! with Multimedia!" We are sure you will have many hours of fun learning!