Attention Connecticut residents: We must add $9.04 sales tax to your order. Sorry.
Use the "Print" button on your browser to print out this form, then . . .
The Intrepid Traveler
P.O. Box 531
Branford, CT 06405
Name: ______________________________________________________________
Address: ____________________________________________________________
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City: ____________________________________ State: ________ Zip: __________
Daytime Phone: ______________________________________________________
E-mail: _____________________________________________________________
(We must have your email to send you instructions on how to download several course modules!)
For credit card orders only:
Your credit card will be charged $150 ($159.04 for Connecticut residents).
The charge will appear on your credit card statement as "The Intrepid Traveler."
Card #: ____________________________________________ Exp: ____________
Billing Address: (if different than above): ___________________________________
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