JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Book One Order Form
Thank you for ordering a copy of Philip T. Basher is Imperfectphil!
Please fill out this form, make a payment, and get excited to read. I hope to have orders delivered in 5-7 days.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Delivery name and address
*
Your answer
Phone number
*
Your answer
Quantity
*
1
2
3
4
5
Other:
Required
Total due is $17 / book. Please add $3 for shipping if needed. (I will deliver to within 6 ft of you if you live in the area) Don't forget, $1 of every purchase will be donated to a local dog rescue. Enter total amount due here:
*
Your answer
Payment- I am a work in progress. At this point I can do PayPal, Venmo, or personal check. PLEASE make sure you SUBMIT this form AND make the payment.
*
Payment can be made through this PAYPAL LINK:
https://paypal.me/imperfectphil?locale.x=en_US
Payment can also be made through VENMO: @Sue-Steinhardt
Mail a check to: Sue Steinhardt 153 Knowlton Road Columbia, NJ 07832 ("imperfectphil" in memo box)
THANK YOU THANK YOU THANK YOU Rest assured we will wash our hands before handling and packaging all books. Want the book signed to anyone special...put their name here!
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
