Texas Hill Country Originals Order Form

This is not a Secure Order Form
We want you to be safe and secure on the internet!
Please fill out, print the form below and mail to:
Texas Heritage Publishing, 14893 Bandera Rd., Helotes TX 78023
or fax to: 210.695.3328
You may also phone 210.695.3320 to order. Thank You.

Please provide the following contact information:

	SHIPPING
Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

Please provide the following ordering information:

DESCRIPTION
QTY

Texas Hill Country Originals CD $9.99

Shipping ($4.00 in Continental US)

Subtotal

add 8.25% if shipped within Texas

Total

	BILLING
Credit Card
Cardholder Name
Card Number
Expiration Date

SHIPPING if other than above
Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

Please fill out, print the form below and mail to: Texas Heritage Publishing, 14893 Bandera Rd., Helotes TX 78023 or fax to: 210.695.3328 You may also phone 210.695.3320 to order. Thank You.