[Print This Page]        [Close This Window]

Please print this form and fill it in.
Then fax it to us at:  (806) 762-8453
or have it in hand when calling us on:  (806) 744-2459

The Odyssey--- 2216 Broadway--- Lubbock, TX 79401
Email:  odyssey@calmjourney.com
General Information and Credit Card Orders:  (806) 744-2459

Name _________________________________________
Address _______________________________________
City _________________________  State ____________ 
Zip Code _____________________
E-Mail Address ____________________________
Daytime Telephone Number ___________________________
(if we have questions about your order)
Qty Description Price Extended
______ _______________________________ _________ ________
______ _______________________________ _________ ________
______ _______________________________ _________ ________
______ _______________________________ _________ ________
______ _______________________________ _________ ________
______ _______________________________ _________ ________
______ _______________________________ _________ ________

            
Please send my order by:  [_]U.S. Mail     [_]UPS
Note: The Odyssey will charge you only for actual shipping costs
(no packaging and handling charges).
Sales Tax: If your order is to be delivered in Texas,
you will be charged 8.25% sales tax (effective October 1, 2004) on
merchandise and shipping charges.

Charge my credit card:

    [_] Visa
   [_] MasterCard
   [_] Discover
   [_] American Express

     Credit Card Number:____________________  Exp. Date _________

Signature (for orders sent U.S. Mail or Fax):___________________

[Print This Page]     [Close This Window]