X-Nilo Show Order Form
Please print this form first, then mail or fax it to 
(please DO NOT email credit card information):

Mail Orders:
The Creation Network
P.O. Box 87
Beaverton, OR  97075		 Orders by FAX:
(503) 263-6182		 Orders by Phone:
1-888-870-7093

Product Ordered: (please check the appropriate box)
The X-Nilo Show - "Dinosaurs and the Bible" - $12.95 + $2 Shipping & Handling = $14.95

Customer Billing Information:

First Name:  
Last Name:  
Address:  
City/State/Zip:  
Country:  
  Email:  
Evening Phone:  
   Daytime Phone:  

Pay by credit card or check: (Please circle one)

Visa         MasterCard           Check   (payable to "The Creation Network")

Card Number:   Expiration Date:  

Shipping Address (if different than your billing address)

First Name:  
   Last Name:  
Address:  
City/State/Zip:   
Country:  

For follow up questions call 1-888-870-7093