Planetary Activation Organization
P. O. Box 880151, Pukalani, Maui, HI 96788-0151 U.S.A.
Voice mail number: 808-573-3110  /  Fax: (808) 573-2867
Website: www.paoweb.com  /  E-mail: pao@hawaii.rr.com		                                 ORDER FORM
Mail or Fax your order to PAO

Today's Date _______________


  SOLD TO: (Your Name & Address)                                         






  PHONE _________________________ FAX _________________________

  E-MAIL ADRESS _______________________________________________		   SHIP TO: (Fill in if address is different from address on left)
Item # How
Many?		 Description of Item Size Unit
Price		 Total








         
SUB TOTAL                 
SHIPPING & HANDLING (see chart)  
*ADD SALES TAX 4.167% on shipments to Hawaii  
*Add my contribution to PAO: $5 / $15 / $20 / $50, etc.  
*If applicable: otherwise leave blank ORDER TOTAL  
SHIPPING & HANDLING CHART
U.S. (Via Priority Mail)
Subtotal of Order (excluding tax) = S&H Cost
$0-$16 ...................... $4.00
$17-$26 .................... $5.00
$27-$57 .................... $6.75
$58-$78 .....................$7.50
$79-$133 .................. $9.00
$134-$150 ................$11.00 Call if $151+ up
International (Via Air Mail)
                       C/M     E/LA     A/PR
1 Calendar.....$3.00    $3.75    $4.25
2 Calendars...$3.75    $4.75    $5.50
1 Video..........$5.00    $7.00    $8.50
2 Videos.........$7.00  $10.00  $12.75
1 T-Shirt.........$5.50    $7.25    $8.75
2 T-Shirts.......$8.50   $11.50  $14.50
1 Bag of Buttons (8)     $3.50   $4.50   $5.25
2 Bags of Buttons (16) $4.00   $5.50   $6.50
C/M = Canada and Mexico
E/LA = Europe and Latin America
A/PR = Asia and Pacific Rim countries 		My Method of Payment in U.S. funds is:

____ Check ____ Money Order  (Payable to PAO)

____ Master Card ____ Visa


Credit Card No. ________________________________________________

Expiration Date ________________________________________________

Signature _____________________________________________________

Please Print Name ______________________________________________

Note: ALL PAYMENTS MUST BE MADE IN US FUNDS
Prices may be subject to change periodically due to increased production costs.
Please check website for the most current list of products and prices.