ORDER FORM


INSTRUCTIONS: Fax or mail this form.
Mail to:
Business Valuation Resources, LLC
111 SW Columbia St, Suite 750
Portland, OR 97201

Or call:  1-503-479-8200   FAX 1-503-291-7955
Billing Address
Name ___________________________________
Company Name ___________________________________
Address ___________________________________
  ________________________ Suite #____
City, State ___________________________________
Zip, Country ___________________________________
Daytime Phone    ( ______ )_________________________
Email ___________________________________
Ship Address (if different from Billing Address)
Address ___________________________________
  __________________________Suite #____
City, State ___________________________________
Zip, Country ___________________________________
Please fill in Shipping Address if different from Billing Address OR if Billing Address is a PO Box.
Description Quantity Unit Cost Total Price
       
       
       
       
       
Please let us know here who to contact in case there is a problem with the order.
_________________________________
Name
_________________________________
Email
_________________________________
Phone Number
Method of Payment
__VISA __MASTERCARD __AMEX __DISCOVER __CHECK
_________________________________
Cardholder Name
_________________________________
Card Acct No
_________________________________
Security Code
_________________________________
Expiration Date
_________________________________
Signature
Shipping
Please add $9.95 for the first book in your order and $5.95 for each additional book. All orders are shipped UPS Ground.
Includes: Packaging, Handling & Ins. Orders are shipped via UPS. Rates apply to orders shipped within the contiguous US; Alaska & Hawaii are more. International rates may vary.
Sub total $ 
Shipping $ 
Total $ 

Thank you for your order, upon receipt, your order will be processed within one business day.