Order Form
We accept . . . Visa & MasterCard

Please fill in all information in the form below, print it and fax it or mail it to us. A Customer Service Representative will contact you after we receive your order to confirm.

You can also e-mail us your order to: info@etcethnic.com

Click here to download order form for Cultural Catalogue in the form in a Word Document format, fill it out save the changes and e-mail it to: info@etcethnic.com

Click here to download order form for Selling to Latinos Book in the form in a Word Document format, fill it out save the changes and e-mail it to: info@etcethnic.com

Thank you!


Note:
• Hit the
Tab key as you complete each section to move to the next.
• Hit the
Shift + Tab keys to go back.
• The ENTER key will NOT work when placing information on this form!


Please fill in as much information as possible to help speed delivery:

Your Information:

 

Contact Name
Company Name
Address
City
State      Zip
Telephone
Fax
E-mail

ETC Client? Yes   No          

Using a Credit Card? *   Yes   No
Paying with Check or money order? **  Yes   No

* (A Customer Service Representative will call for account information)
** Please make check or money order payable to Erlich Transcultural Consultants


Please Ship To ( leave blank if same as above ) :

Ship-To Address
City
State      Zip
Telephone

 

 

Item Description
Qty.
Price
Total

 TOTALS:



If you need further assistance, please contact us:

11430 Burbank Blvd.
North Hollywood, CA  91601

Tel:   818-623-2425   ·   Fax:   818-623-2429

E- mail:   info@etcethnic.com