Cross Country Journal Order Form
Mail this form to:
IDEA, Inc.
2100 14th Ave. So., Suite 3
Minneapolis, MN 55404
Or call (or FAX) us at 1-800-828-1231.

Name: ________________________________________________________________

E-mail Address: ______________________________________________________

Street Address: ______________________________________________________

City, State, Zip: ____________________________________________________

Day Phone: _____________________ Evening Phone:  _____________________

Type of Payment (Check one of the three options)                      

_____ VISA/Mastercard: _____________________________Exp. Date_________

      Name of Cardholder: ____________________________________________
      
_____ Check (Make payable to Cross Country Journal or IDEA, Inc.)     
      
_____ Purchase Order No: _____________________________________________

      Business Office Address: _______________________________________
     
      ________________________________________________________________
                               

Item Description                           Price Each  Qty. Item Totals

__________________________________________ __________ _____ __________

__________________________________________ __________ _____ __________

__________________________________________ __________ _____ __________

__________________________________________ __________ _____ __________

__________________________________________ __________ _____ __________

                                                   Subtotal __________
                                                   
         Unless tax exempt, MN residents add 6.5% sales tax __________
                         
     Shipping & handling: USA $8, Canada $10, Other $15        
          No shipping and handling charge for subscriptions           
   (If the total of the non-subscription items is more than           
       $100, there is no charge for shipping and handling.) __________

                                                      TOTAL __________

Thank you for your order. It should arrive within ten days.
Money Back Guarantee: If not satisfied, return any item for full refund.