For Fax Orders:              
Print out the order form 
below and fax it to our 
TOLL FREE FAX LINE
1-888-371-3434

For Mail Orders:              
Print out the order form 
below and mail it to our

Mail Order Dept.
Widerview inc.
P.O. Box 136	
Petaluma, CA 94953

make checks payable to:
Widerview inc.


Bill to Address:__________________________________________________
                    _______________________________________________________________________
                    _______________________________________________________________________

Ship to Address:__________________________________________________ 
  (If different)    _______________________________________________________________________  
                    _______________________________________________________________________


Contact Phone # __________________________Email:___________________________________________



I would like to order these items!

Item #		      Description		     Price	      Quantity	       Total

_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________

                                                            Subtotal of order:_______________

           (Shipping charges, if any, are listed next to unit prices)Shipping:_______________ 
    
       (Please include 7.75% sales tax if items being shipped to Calif.)  Tax:_______________

                                                                  Order Total:_______________ 

Payment Information

Method of payment (please check one)

Credit card:____Check or money order enclosed:_____(payable to Widerview Inc.)

Information below required to process Credit Card orders:

Type of Credit Card:	Visa___Mastercard___Discover/Novus___American Express___ 

Credit Card Card Number: __________________________________

Valid from: ____Expiration date:_______

Name as it appears on credit card: ______________________________________________

Card holders phone: (please be sure to include area code) _______________________

Card Holders signature:__________________________________________________________   


                   Thank you for shopping in Widerview Village!
                                                
                                        
                        Widerview Inc. ~ Corporate Office
                             P.O. Box 136, Petaluma, CA 94953	
                              Contact Us: corp@widerview.com