Coastal Vacations Purchase Order Form
   Date


 

                                                            Ship to: 

Rebecca L. Sorber
P.O. Box 1392
Ft. Collins, CO 80522-1392

Toll Free: 888-995-5550

 

Name:

Address:

City:

State:

ZIP:

Phone:

E-Mail:

   

PACKAGE

PRICE

QUANTITY

TOTAL

Level 1: The Coastal Vacation Package

 

$1,295 x

 

 

SUB-TOTAL:

FREIGHT:
{FED EX 2nd day air $25)

BALANCE DUE:

 Credit card orders will be phone verified before processing. There is a 10 day money back guarantee.  Package and all materials must be returned in clean, unused re-sellable condition. No exceptions.