Please and fill out as completely as possible and then print this form. All fields in Billing/Shipping are required information. Fax your order to (480) 663-6662 or, mail to: GeoQuest Entertainment Group, Ltd. Att: Sales 10645 North Tatum Boulevard Suite 200Phoenix, Arizona85028-3090
Billing Information Billing address must match the address on your credit/debit card statement
Shipping Information Leave blank if same as billing info.
First Name
First Name
Last Name
Last Name
Street Address 1
Street Address 1
Street Address 2
Street Address 2
City
City
State
State
Zip / Postal Code
Zip / Postal Code
Country
Country
Phone Number
Phone Number
Email Address
Email address is used for order notification and contact purposes only. Personal information is protected by our Privacy Policy. If you are faxing your order confirmation we will notify you of shipping total and ship date via return fax. If you would prefer to have order information mailed, please request mail notification
Fax Number include country code and city/area code
Please list the items you wish to purchase below . Prices are not reserved until the order is placed. For more information, please visit our Pricing Policy
Item
Qty
Price
DVD - US & Canada version
$24.95
DVD - International verison
$24.95
Original full size theatrical movie poster
$15.00
Smaller theatrical movie poster
$8.75
Postcards (25 per package)
$12.50
Postcards (50 per package)
$15.00
Postcards (100 per package)
$21.00
By Credit Card
Card Type:
Card Number:
Expiration Date:
Month:
Year:
CVV2 Security Code:
Last 3 Digits On Back Of Card
If you choose to pay by Check or Money Order, Please place a check mark here: *Please do not send your check, money order, until we contact you with an order number and the address to send the payment to. We cannot accept personal checks from countries outside of the U.S. For countries outside of the U.S. , you will be asked for an international money order payable in US dollars.
Shipping: Shipping costs for the following shipping methods are applied when ordering. Shipping fees will vary based on weight, delivery address and total order amount. Your total including shipping costs will be emailed to you or, if no email address is provided, faxed to you. Alternately, if we have received your order by mail and your preference is to have your total including shipping costs mailed back to you, please indicate this on your order. We cannot guarantee delivery times for international orders. Delivery times will vary and may take up to several weeks. UK product will be shipped via Airmail only. Please choose a shipping method from the following links and indicate your choice here:
