Order Form A Comprehensive Guide to Oriental and Specialty Rug Cleaning and
Unraveling the Mystery of Rug Identification by
Ellen Amirkhan and Aaron Groseclose Name:______________________________________________________________ Shipping Address:___________________________________________________ City:____________________________ State:______ Postal Code:___________ Telephone:______________________ Email:_____________________________ PAYMENT BY CREDIT CARD MasterCard, Visa, AMEX Expiration Date:____________ Card Number:_________________________ Security code:______________ Name on Card:__________________________________________________ Billing Address (if different from shipping address):________________________________ Number of Books:________ @US $495.00 = $ ________ Number of Video Sets:_____ @US $295.00 = $ ________ Shipping & Handling: $15 book/video $_________ (8.25% sales tax Texas) $ ________ Total Amount Due: $ _________ Master Rug Cleaner Program Phone: (214) 821-‐9135 Fax: (214) 821-‐9136 www.masterrugcleaner.com