Pride Guide Order Form - GayArizonaGayArizona

First copy is $7.95 shipping and handling. Additional copies are $4.25 each. Please indicate which state guide(s) you would like to order.*

Arizona

How many Arizona guides would you like?*

Please enter a value greater than or equal to 1.

How many California guides would you like?*

Please enter a value greater than or equal to 1.

How many Colorado guides would you like?*

Please enter a value greater than or equal to 1.

How many Hawaii guides would you like?*

Please enter a value greater than or equal to 1.

How many New Mexico guides would you like?*

Please enter a value greater than or equal to 1.

How many Nevada guides would you like?*

Please enter a value greater than or equal to 1.

Total Guides

First Guide S&H Cost

Price: $7.95

Additional Guides S&H Cost

Price: $0.00

Additional Guide S&H Cost

Price: $0.00

Total

$0.00

Payment Information

Type of Payment*

Name on Credit Card*

Credit Card Number*

4 digit security code*

What is my security code?

3 digit security code*

What is my security code?

Expiration Date (Month & Year)*

Billing Address*

Street Address Address Line 2 City State ZIP Code

Daytime Phone*

Email*

Your IP Address: 3.135.193.234

Signature*

Please sign using your touchscreen device, touch pad or mouse.

Shipping Information

Shipping Information is the same as Billing Information

Ship To Name*

Shipping Address*

Street Address Address Line 2 City State ZIP Code

Comments

Do you have any special instructions or comments regarding your order?

By submitting this form you are authorizing The Pride Guides® to charge your credit card the amount listed above. The charge will appear on your credit card statement as PRIDE GUIDE. If you have any questions please contact us at 602-466-2501. Our regular business hours are Monday through Friday 9 a.m to 5 p.m. Arizona Time.

Name

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