Order Form

Please print out the form below. Complete the requested information and send to Zen Dust, Sonoma Mountain Zen Center, 6367 Sonoma Mountain Road, Santa Rosa, CA 95404.

SHIP TO:

ADDRESS:

PHONE:

QTY  ITEM DESCRIPTION  UNIT PRICE  QTY  TOTAL




















SUBTOTAL:  
CA RESIDENTS ADD 8% SALES TAX :  
SHIPPING (See chart below):  
NEWSLETTER ($15 for 1 year / 4 issues):  

GRAND TOTAL:

 

Please send your check or the following credit card information (visa/mastercard only) with your order.

Name as it appears on card:______________________________________________

Credit card #:___________________________________

Expiration Date:___/_____/____

3-Digit Security Code (on back of card) ______

Total For Merchandise Mailing Fee
Up to $14.99...........................$8.00
$15 - $29.99...........................$9.00
$30 - $49.99...........................$11.50
$50 - $99.99...........................$16.00
Zabutons & Oversize Packages...........................$30.00


Prices are subject to change without notice. Orders will be sent UPS or USPS mail.
Please allow up to four weeks for delivery.