Life of Learning Foundation Order Form

Please print and fill in this form, then refer to the mailing address and phone & fax numbers at the bottom of the page.

Personal Information :
Name: Ref ID: 12444
Address: Apt. #:
City: State: Zip:
Phone: E-mail:
Product Information

Item #

Qty

Description

$ Each

$ Total

         
         
         
         
         
         

Here's my tax-deductible donation to help spread the Light. 

$

Non-U.S. Shipping
U.S. Funds Only

Order Total  

$
Subtotal

$0-18
$19-30
$31-50
$51-70
$71-99
$100-150
$150+

Canada

$6
$7
$8
$9
$11
$13
$16

Other

$10
$12
$13
$15
$18
$21
$28

U.S. Standard Shipping - FREE 
Shipped via USPS book rate.
Allow 2-3 weeks.

$ 0

Priority Shipping in the U.S. 
Shipped via USPS. Add $8.50 

$

Shipping outside the U.S. 
See table to the left. 

$

Total amount Due  

$
Billing Information
[    ]  Enclosed is my check or money order to Life of Learning
[   ]  Please charge:         [   ]  VISA           [   ]  MASTERCARD         [   ]  AMEX         [   ]  DISCOVER
Credit Card # Exp. Date:
Name on Card (if different)
Billing Address (if different)
City State Zip
Signature (required)

Life of Learning Foundation
PO Box 10
Merlin, OR  97532
Fax Orders:  541.472.0822
Phone Orders:  541.476.1200
(Please call M-F 9am-5pm Pacific Time)

Visit Life of Learning's website!