Order Form for the Collaborative Land Use Planning Guidebook and the Project Modeling Kit

Please ship me __ Collaborative Land Use Planning guidebooks @ $29 plus $6 shipping and handling per book . . . . . .. . . .Total $ _____
Please ship me __ Project Modeling Kits @ $349 plus $20 shipping & handling per kit . . . . . . . . . . . . . . . . . Total $ _____
Terms: If you are not completely satisfied with the Collaborative Land Use Planning Guidebook or the Project Modeling Kit you may return them within 30 days for a full refund.
Shipping Information

Your Name: ________________________________

Organization Name (if any): _________________________________

Street Address: __________________________________________

City/Town: _____________________________ State: ____ Zip: _______________

Phone with area code: ( ________ ) ______________________

Fax with area code: ( ________ ) ______________________

E-mail: ______________ @ _________________________
Form of Payment

___ Check: Enclosed is a check drawn on a U.S. Bank in U.S. currency, payable to Karl Kehde, for the total amount due. My check number is _________

___ Credit Card: Please charge this purchase to my __ VISA or __ Mastercard

Card number: _____________________________________ Exp. Date ____________

Name as it appears on card ________________________________________

Cardholder signature: _____________________________________________

If you would prefer to order by phone with your credit card, please call (908) 625-0638.

___ Purchase Order: Enclosed is my purchase order.

___ Money Order: Enclosed is my money order.
Mail this completed form with your payment to: Karl Kehde, 208 Courthouse Drive, Morrisville, NC 27560.

For quick delivery please call (908) 625-0638 with yourVisa or Mastercard.

Date Ordered: ______________ Date Processed: ____________
Date Shipped: ______________ Authorization and Ticket Code: ________________