2020 Holiday Cheer Order Form Thanks so much for supporting PCEI with your Holiday Cheer purchase! Customer Contact InformationName* First Last Email*You will receive a confirmation email at the email address you provide. Your email address will also be added to our PCEI email list so that you can receive updates about PCEI programs, projects and events. Your email address and all personal information will be kept confidential. We NEVER share our email lists with anyone. You may unsubscribe from the list at any time. Phone*Address* Street Address City State / Province / Region ZIP / Postal Code Your OrderWine and Cheese Holiday Cheer Box Price: $100.00 Quantity: Coffee and Chocolate Holiday Cheer Box Price: $100.00 Quantity: Tax (6%)Idaho tax rate Price: $0.00 Donation to PCEI (optional)Your gift will be used to support PCEI's work in living, learning, serving and restoring in the Palouse-Clearwater region and beyond. Pick Up/DeliveryPlease choose one of the following options*If you choose a pick up date, please pick up your items during the designated time at the PCEI Nature Center located at 1040 Rodeo Drive in Moscow, Idaho. Please note that delivery is free and limited to Moscow, ID and Pullman, WA. I will pick up my order at PCEI on Saturday, Dec 19, 3-5pmI will pick up my order at PCEI on Monday, Dec 21, 3-5pmI would like my order delivered. Please contact me to arrange a delivery date and time.CommentsPaymentTotal $0.00 Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name CAPTCHA
