Order Form
100% of the proceeds from the sale of books and shirts goes to Kobe Foundation.

USE TAB KEY TO MOVE BETWEEN FIELDS
BILLING INFO: Your Name
 (required)

Email address for order confirmation
and shipping info:

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Your Phone
(incl. area code):
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Address Credit Card Bills to - Street
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City, State, Zip Code
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SHIPPING INFO
 Same as Billing? Yes No (required)
If DIFFERENT,
please provide complete shipping address:
MERCHANDISE

$20.00
Quantity
First Name for Inscription:


Order a total of ANY 2 items, books, audio cds and/or shirts in any combination and qualify for
FREE SHIPPING!

Single item shipping cost $5.00


$20.00
Quantity
First Name for Inscription:


Quantity
Audio CDs
$20.00 each


Check Here if you want your CD signed:



Quantity

SHIRTS: "An Uncommon Woman"
(t-shirts are very fitted, order size larger than you typically wear)


Hot Pink & Lime Green
Quantity
Large X-Large
$20.00 each

Select Color, Size and Quantity

Periwinkle Blue & Golden Yellow
Quantity
Large X-Large
PAYMENT INFO
CREDIT CARD INFO: (check one)
VISA Mastercard
American Express (required)
Card Number:


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Exp. Date (mm/year)
Name as appears on Credit Card:
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CLICK SUBMIT TO PLACE YOUR ORDER



You will receive a confirmation email with your order total and shipping date.
Your credit card statement will show Kobe Foundation processed through PayPal.