Print the form and write in your order with a pen then fax or mail it.

Name    

Address

City;       State    Zip Code

Phone     Country  

Email    

Items

QUANTITY

 COST EACH

TOTAL
       
       
       
       
       
       
TOTAL      

Make money orders payable to The Problem Solver in U.S. dollars. (No Eurochecks)
Orders shipped same day paid with a credit card, cashier's check or money order.
Credit Card Orders (Master card, Visa, American Express, Discover):
Note: The card billing address must be the same as the shipping address for verification
purposes. Transactions will appear on your credit card bill as The Problem Solver.

Card holder name  Card number 

Expiration date                Signature      _________________________________
Please mail your order to:

PROBLEM SOLVER             Or FAX to: (credit card orders only)
29 HUDSON DRIVE                     (631) 269-7345
KINGS PARK, NY 11754

Back to Products