ORDER FORM
(Print and complete this form)
TO ORDER YOUR COPY:
Print this page, complete the form at the bottom and mail with your check payable to The Burrell Group 

Credit Card Orders may be faxed to
The Burrell Group at: (714) 974-2582 (fax)

Mail Order form with payment to:

The Burrell Group
Attn: Official Handbook
P.O. Box 17039
Anaheim Hills, CA 92817-7039

For more information:  E-mail goldmine-handbook@burrellgroup.com

Copies

Item

 Unit
Cost		 Total Cost
  Official Handbook - GoldMine Real Estate Edition  $49.00  
       
Sub-total  

Tax (CA residents add 8.25%)

  

Shipping & handling ($10.00 per copy, continental United States)*

$10.00
Total Order  

*For shipping rates outside continental United States call (714) 777-2130 or e-mail, shipping@burrellgroup.com 

 

Please allow 7-10 business days for delivery.
Name: _________________________________
Company: _________________________________
Address: _________________________________ (cannot ship to PO Boxes)
City, State, Zip: _________________________________
Phone: _________________________________ Fax: _________________________
E-mail: _________________________________ Web site: _____________________
Payment by: Check  / VISA /  MasterCard  / American Express
Credit Card #:  ____________________________ Expires: ______
Name on Card: _________________________________
Cardholder Signature:
_________________________________ Date: ________________