Haunt Idea Kit Order Form

Use this form to mail a check/money order in U.S. FUNDS.

Mail Your Order: Eureka Communications 1077 Pacific Coast Hwy #144 Seal Beach, California 90740 Phone: 800-643-1683 562-493-4186

Make Checks/Money Orders payable to: EUREKA Communications

Name

   (If applicable: Must match
name on credit card )

Address

   (If applicable: Must match
credit card billing statement)

City

State

ZIP

Phone

(Daytime Number)

Email

 (Please PRINT Clearly)

Credit Card #

(If not you're paying by check)

Expiration Date

(If not you're paying by check)

Security Code

Please provide us the 3 digit code on the back of your
Visa or MasterCard OR
the four digit code on your Amex card
on the front of the Amex Card.

Signature

(If you're paying by credit card)

Date

Description

Product #

Price

Quantity

Total

Haunt Idea Kit

HHPB1

$29.95

$ 

Field of Screams eBook (one-time special offer)

FOS-e3

6.95

$

Shipping Rates

U.S. - ADD $5.95
Canada - ADD $7.95
International - ADD $8.95

$

Sales Tax (California Residents Only)

8%

Items Total Cost

U.S. funds only

$